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NPI Code Detail

MEDICARE: GOLDEN MOBILE MEDICAL MANAGEMENT INC

MEDICARE: GOLDEN MOBILE MEDICAL MANAGEMENT INC
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
1207R00000XInternal Medicine PhysicianME52247FL

General Provider Information

NPI Number : 1669929592
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN MOBILE MEDICAL MANAGEMENT INC
Provider Business Mailing Address
First Line : 958 SW MARTIN DOWNS BLVD
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2816
Country : US
Telephone Number : 772-223-6410
Fax Number : 772-223-0092
Provider Business Practice Location Address
First Line : 958 SW MARTIN DOWNS BLVD
Second Line :
City : PALM CITY
State : FL
Zip : 34990-2816
Country : US
Telephone Number : 772-223-6410
Fax Number : 772-223-0092
Authorized Official
Title or Position : OWNER
Name : REBECCA PROSTKO
Credential : MD
Telephone Number : 772-223-6410
Provider Enumeration Date : 09/08/2016
Last Update Date : 02/27/2017

Similar Medicare Providers

1437124914 — DR. REBECCA A PROSTKO M.D.
Practice Location Address:
938 SW MARTIN DOWNS BLVD
PALM CITY, FL
34990-2816
Practice Phone: 772-223-6410
Practice Fax: 772-223-0092
1144328238 — MS. JENNIFER ANNE UDZINSKI MS PA-C
Practice Location Address:
938 SW MARTIN DOWNS BLVD
PALM CITY, FL
34990-2816
Practice Phone: 772-223-6410
Practice Fax: 772-223-0092
1194824052 — REBECCA A PROSTKO MD PA
Practice Location Address:
938 SW MARTIN DOWNS BLVD
PALM CITY, FL
34990-2816
Practice Phone: 772-223-6410
Practice Fax: 772-223-0092
1912099771 — DR. LAURIE GRISSMAN MCCUEN ARNP
Practice Location Address:
938 SW MARTIN DOWNS BLVD
PALM CITY, FL
34990-2816
Practice Phone: 772-221-7620
Practice Fax: 772-221-9903
1104143965 — MR. STEVEN JOHN SANDERSON ARNP
Practice Location Address:
938 SW MARTIN DOWNS BLVD
PALM CITY, FL
34990-2816
Practice Phone: 318-488-8066
Practice Fax:
1891224705 — SARAH ANNE HARTFORD ARNP
Practice Location Address:
938 SW MARTIN DOWNS BLVD
PALM CITY, FL
34990-2816
Practice Phone: 772-221-7620
Practice Fax:

Directions to “GOLDEN MOBILE MEDICAL MANAGEMENT INC ” Practice Location

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