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Organization
OUR GOLDEN MEDICAL CENTER
Active
Organization
OUR GOLDEN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA CASTRO (PRESIDENT)
(305) 258-1425
Entity
Organization
Contact information
Practice address
12781 SW BIRD RD, SUITE H, MIAMI, FL 33175
(305) 229-3990
Mailing address
12553 SW 224TH ST, MIAMI, FL 33170-6327
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME81667
FL
Other
Enumeration date
12/19/2005
Last updated
09/18/2007
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