Healthcare Provider Details

I. General information

NPI: 1942020318
Provider Name (Legal Business Name): GOLDEN MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2024
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12012 MIRAMAR PKWY
MIRAMAR FL
33025-7000
US

IV. Provider business mailing address

12012 MIRAMAR PKWY
MIRAMAR FL
33025-7000
US

V. Phone/Fax

Practice location:
  • Phone: 786-452-6189
  • Fax:
Mailing address:
  • Phone: 786-452-6189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAYLIN GARCIA PEREZ
Title or Position: MGR
Credential:
Phone: 786-319-6422