# OUR GOLDEN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689650038
- **Authorized official:** MAYRA CASTRO (PRESIDENT)
- **Authorized official phone:** (305) 258-1425

## Contact information

- **Practice address:** 12781 SW BIRD RD, SUITE H, MIAMI, FL 33175
- **Practice address phone:** (305) 229-3990
- **Mailing address:** 12553 SW 224TH ST, MIAMI, FL 33170-6327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME81667 | FL | Yes |

## Other

- **Enumeration date:** 12/19/2005
- **Last updated:** 09/18/2007