MEDICARE: GOLDORO DEVELOPMENTS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0200X	Radiology Clinic/Center
2	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center
3	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1780249094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDORO DEVELOPMENTS INC

Provider Business Mailing Address
First Line	:	1799 S FEDERAL HWY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-7412
Country	:	US
Telephone Number	:	561-210-9568
Fax Number	:	561-404-9645

Provider Business Practice Location Address
First Line	:	1799 S FEDERAL HWY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-7412
Country	:	US
Telephone Number	:	561-587-0337
Fax Number	:	561-687-5601

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	LAURA KASSA
Credential	:
Telephone Number	:	904-610-4653

Provider Enumeration Date	:	05/02/2019
Last Update Date	:	06/13/2025

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Directions to “GOLDORO DEVELOPMENTS INC ” Practice Location

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