Organization Active NPI

Go Medical Corp

Doing business as GoMedicalCenter

  • Family Medicine Physician
  • Live Oak, FL
National Provider Identifier
1275399289
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GO MEDICAL CORP
Doing business as
GoMedicalCenter
Practice address
601 Howard St E
Live Oak, FL 32064-3401
Phone
(786) 873-7045
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Giraldo Olivera, APRNNPI 1508488503
Title
Ceo
Phone
(386) 320-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

601 Howard St E
Live Oak, FL 32064-3401

Mailing address

601 Howard St E
Live Oak, FL 32064-3401
Phone (786) 873-7045

Other names 1

  • GoMedicalCenter Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121003331 FL Part B Supplier - Clinic/Group Practice 7618402009 Receives reassigned benefits from 1 practitioner
Practice locations: Live Oak, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2321168Go Medical Center601 Howard St East, Live Oak, FL 32064Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

601 Howard St E
Live Oak, FL 32064
Phone (386) 320-6900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1275399289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HOWARD ST E",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643401",
            "telephone_number": "786-873-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOWARD ST E",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643401",
            "telephone_number": "786-873-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "GIRALDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-320-6900",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoMedicalCenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GoMedicalCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.