Healthcare Provider Details

I. General information

NPI: 1487584520
Provider Name (Legal Business Name): GOLDEN ASSISTANCE PRIMARY CARE AND WEIGHT MANAGEMENT CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 NW 33RD AVE STE 200-1018
FORT LAUDERDALE FL
33309-6374
US

IV. Provider business mailing address

5200 NW 33RD AVE STE 200-1018
FORT LAUDERDALE FL
33309-6374
US

V. Phone/Fax

Practice location:
  • Phone: 754-315-7536
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FRESLER JEAN-BAPTISTE
Title or Position: FNP-C
Credential: NP
Phone: 754-777-3244