Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GOLDEN AGE PHYSICIAN SPECIALISTS LLC
Active
Organization
GOLDEN AGE PHYSICIAN SPECIALISTS LLC
Active
Other names
GAPS
Organization subpart
No
Provider details
NPI number
Authorized official
DACELIN ST. MARTIN MD (PROVIDER)
(352) 684-8736
Entity
Organization
Contact information
Practice address
6405 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-9354
(352) 684-8736
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 684-8736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/28/2023
Last updated
05/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up