Organization
GOLDEN MEDICAL CENTER II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA PALACIO (OPERATIONS MANAGER)
(305) 904-0616
Entity
Organization
Contact information
Practice address
818 N MAIN ST, KISSIMMEE, FL 34744-4564
(407) 201-5202
(407) 201-5047
Mailing address
818 N MAIN ST, KISSIMMEE, FL 34744-4564
(407) 201-5202
(407) 201-5047
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D620795765180
DRIVERS LICENSE
FL
Enumeration date
02/27/2020
Last updated
02/27/2020
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