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NPI Code Detail

MEDICARE: GOLD COAST MEDICAL CENTER, INC.

MEDICARE: GOLD COAST MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME60696FL

General Provider Information

NPI Number : 1750317145
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLD COAST MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 950 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5109
Country : US
Telephone Number : 561-266-7303
Fax Number : 561-266-2830
Provider Business Practice Location Address
First Line : 950 SE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5109
Country : US
Telephone Number : 561-266-7303
Fax Number : 561-266-2830
Authorized Official
Title or Position : PRESIDENT
Name : MUNIRA KOITA
Credential : MD
Telephone Number : 561-266-7303
Provider Enumeration Date : 06/25/2006
Last Update Date : 08/22/2020

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Directions to “GOLD COAST MEDICAL CENTER, INC. ” Practice Location

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