Healthcare Provider Details

I. General information

NPI: 1639059934
Provider Name (Legal Business Name): GOLDEN YEARS NP CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7435 VIA LURIA
LAKE WORTH FL
33467-5225
US

IV. Provider business mailing address

7435 VIA LURIA
LAKE WORTH FL
33467-5225
US

V. Phone/Fax

Practice location:
  • Phone: 561-254-1143
  • Fax: 772-673-8440
Mailing address:
  • Phone: 561-254-1143
  • Fax: 772-673-8440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIE T ADONIS-RIZZO
Title or Position: AMBR
Credential: NP
Phone: 561-254-1143