Healthcare Provider Details

I. General information

NPI: 1992537286
Provider Name (Legal Business Name): GO MD USA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 US HIGHWAY 1 # 102C
NORTH PALM BEACH FL
33408-3879
US

IV. Provider business mailing address

3385 AIRWAYS BLVD STE 201
MEMPHIS TN
38116-3808
US

V. Phone/Fax

Practice location:
  • Phone: 561-675-0044
  • Fax:
Mailing address:
  • Phone: 561-675-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: APOLLO ARCALLANA
Title or Position: PRESIDENT AND CFO
Credential:
Phone: 561-675-0044