Organization
GOLDEN GATEWAY CORP
Active
Organization
GOLDEN GATEWAY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA AVILES (OWNER)
(407) 808-8680
Entity
Organization
Contact information
Practice address
3277 TUNBLING RIVER DR, CLERMONT, FL 34711
(407) 808-8680
Mailing address
3277 TUNBLING RIVER DR, CLERMONT, FL 34711
(407) 808-8680
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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