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Organization
GOLDEN MIRACLE INC
Active
Organization
GOLDEN MIRACLE INC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENO L CARDOSO (PRESIDENT)
(954) 862-2236
Entity
Organization
Contact information
Practice address
14601 SW 29TH ST STE 110, MIRAMAR, FL 33027-4715
(954) 862-2236
(954) 944-0822
Mailing address
14601 SW 29TH ST STE 110, MIRAMAR, FL 33027-4715
(954) 862-2236
(954) 944-0822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299994039
FL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
02/12/2013
Last updated
07/21/2023
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