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General NPI Number Information
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NPI Number | 1780249094
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Entity Type | Organization
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Legal Business Name | GOLDORO DEVELOPMENTS INC
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1799 S FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33432-7412
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Country | US
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Telephone | 561-587-0337
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Fax | 561-687-5601
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Provider Business Mailing Address
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Address Line | 1799 S FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33432-7412
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Country | US
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Telephone | 561-210-9568
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Fax | 561-404-9645
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | LAURA KASSA
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Credential |
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Telephone | 904-610-4653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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