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Organization
GOLDEN ERA ALF, CORP.
Active
Organization
GOLDEN ERA ALF, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IBIS ALVAREZ (PRESIDENT)
(305) 785-6880
Entity
Organization
Contact information
Practice address
15680 SW 139TH AVE, MIAMI, FL 33177-1067
(305) 785-6880
(305) 552-5975
Mailing address
15680 SW 139TH AVE, MIAMI, FL 33177-1067
(305) 785-6880
(305) 552-5975
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
AL10487
FL
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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