Organization
GOLDEN HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM FORMISANO MD (PRESIDENT)
(305) 885-5180
Entity
Organization
Contact information
Practice address
7911 NW 72ND AVE STE 119, MEDLEY, FL 33166-2222
(305) 885-5180
(305) 885-7119
Mailing address
7911 NW 72ND AVE STE 119, MEDLEY, FL 33166-2222
(305) 885-5180
(305) 885-7119
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME91614
FL
Other
Enumeration date
02/01/2014
Last updated
02/01/2014
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