Healthcare Provider Details

I. General information

NPI: 1003343294
Provider Name (Legal Business Name): GOLD POINT HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4665 W ATLANTIC AVE STE C
DELRAY BEACH FL
33445-3800
US

IV. Provider business mailing address

4665 W ATLANTIC AVE STE C
DELRAY BEACH FL
33445-3800
US

V. Phone/Fax

Practice location:
  • Phone: 954-303-7584
  • Fax: 561-270-2871
Mailing address:
  • Phone: 954-303-7584
  • Fax: 561-270-2871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3761
License Number StateFL

VIII. Authorized Official

Name: MS. OLIVIA JOSEPHINE GOLD
Title or Position: PRESIDENT
Credential: AP
Phone: 954-303-7584