Healthcare Provider Details

I. General information

NPI: 1780249094
Provider Name (Legal Business Name): GOLDORO DEVELOPMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1799 S FEDERAL HWY
BOCA RATON FL
33432-7412
US

IV. Provider business mailing address

1799 S FEDERAL HWY
BOCA RATON FL
33432-7412
US

V. Phone/Fax

Practice location:
  • Phone: 561-587-0337
  • Fax: 561-687-5601
Mailing address:
  • Phone: 561-210-9568
  • Fax: 561-404-9645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA KASSA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 904-610-4653