MEDICARE: GOLDEN LIFE SENIOR SERVICES LLC

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	246YC3302X	Physician Office Based Coding Specialist

General Provider Information

NPI Number	:	1720793920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN LIFE SENIOR SERVICES LLC

Provider Business Mailing Address
First Line	:	8865 COMMODITY CIR STE 14-103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5499 NOKOMIS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-7317
Country	:	US
Telephone Number	:	407-706-7575
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. JUDITH FLETCHER
Credential	:
Telephone Number	:	407-706-7575

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/23/2023

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Directions to “GOLDEN LIFE SENIOR SERVICES LLC ” Practice Location

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