Golden Mobile Medical Management Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME52247 Issued in FL

Legal business name

GOLDEN MOBILE MEDICAL MANAGEMENT INC

Practice address

958 SW Martin Downs Blvd
Palm City, FL 34990-2816

Phone

(772) 223-6410

Fax

(772) 223-0092

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Rebecca Prostko, MD

Title

Owner

Phone

(772) 223-6410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1669929592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902816",
            "telephone_number": "772-223-6410",
            "fax_number": "772-223-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902816",
            "telephone_number": "772-223-6410",
            "fax_number": "772-223-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MOBILE MEDICAL MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "PROSTKO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-223-6410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME52247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamia Ghent, RBT
• Walter R Gil, MD
• Laura Anne Girlando
• Glowtox Studio LLC
• Tara Jo Goheen, RBT
• Francis Aleida Gomez
• Jenny D Gonzalez Cuenca
• Adriana Carolina Gonzalez
• Marleny Altagracia Gonzalez
• Mya Kaarina Gonzalez

• Internal Medicine Physician in Palm City, FL
• Providers in Palm City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.