MEDICARE: JACKELYN MARIE GOLDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9386160	FL

General Provider Information

NPI Number	:	1588163646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKELYN MARIE GOLDEN

Provider Business Mailing Address
First Line	:	4425 PONCE DE LEON BLVD STE 110
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-1842
Country	:	US
Telephone Number	:	305-446-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 PONCE DE LEON BLVD STE 110
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146
Country	:	US
Telephone Number	:	305-446-4673
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2018
Last Update Date	:	02/02/2026

Similar Medicare Providers

1295079564 — MARIANNA ILACHTCHOUK DNP, CRNA
Practice Location Address:

5030 BRUNSON DR
CORAL GABLES, FL
33146-2412

Practice Phone: 916-832-1632
Practice Fax:

1205455045 — MICHAEL ELIAS MD
Practice Location Address:

5955 PONCE DE LEON BLVD
CORAL GABLES, FL
33146-2423

Practice Phone: 305-661-1515
Practice Fax: 305-661-1515

1558865576 — DR. SAMUEL LUIS QUINTERO MD
Practice Location Address:

420 S DIXIE HWY STE 4E
CORAL GABLES, FL
33146-2232

Practice Phone: 305-666-9963
Practice Fax:

1720930415 — REGINA HAYDEE ROJAS
Practice Location Address:

3850 SW 40TH ST
CORAL GABLES, FL
33146-1673

Practice Phone: 786-953-9856
Practice Fax:

1013892397 — CATHERINE GENER
Practice Location Address:

5555 PONCE DE LEON BLVD
CORAL GABLES, FL
33146-2513

Practice Phone: 305-555-5555
Practice Fax:

1154815926 — USA SPORTS THERAPY SOUTH MIAMI INC
Practice Location Address:

360 GRANELLO AVE
CORAL GABLES, FL
33146-1883

Practice Phone: 305-420-5682
Practice Fax: 305-932-5612

Directions to “ JACKELYN MARIE GOLDEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.