NPIMap

Organization Active NPI

Goldoro Developments Inc

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1780249094
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GOLDORO DEVELOPMENTS INC
Practice address
1799 S Federal Hwy
Boca Raton, FL 33432-7412
Phone
(561) 587-0337
Fax
(561) 687-5601
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Laura Kassa
Title
Authorized Official
Phone
(904) 610-4653

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

1799 S Federal Hwy
Boca Raton, FL 33432-7412

Mailing address

1799 S Federal Hwy
Boca Raton, FL 33432-7412
Phone (561) 210-9568

Other names 1

  • Bluewater Radiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031000052 FL Part B Supplier - Clinic/Group Practice 3375902380 Receives reassigned benefits from 7 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1799 S Federal Hwy
Boca Raton, FL 33432
Phone (561) 210-9568

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1780249094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327412",
            "telephone_number": "561-210-9568",
            "fax_number": "561-404-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327412",
            "telephone_number": "561-587-0337",
            "fax_number": "561-687-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDORO DEVELOPMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "KASSA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-610-4653"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluewater Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluewater Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.