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NPI Code Detail

MEDICARE: GOLDEN ABBEY ENTERPRISES II INC

MEDICARE: GOLDEN ABBEY ENTERPRISES II 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
1235Z00000XSpeech-Language Pathologist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1942472006
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN ABBEY ENTERPRISES II INC
Provider Business Mailing Address
First Line : 1321 HERBERT ST
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-4135
Country : US
Telephone Number : 386-763-9800
Fax Number : 386-763-0828
Provider Business Practice Location Address
First Line : 1321 HERBERT ST
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-4135
Country : US
Telephone Number : 386-763-9800
Fax Number : 386-763-0828
Authorized Official
Title or Position : ADMINISTRATOR
Name : MANUEL P SALDON
Credential :
Telephone Number : 386-763-9800
Provider Enumeration Date : 03/29/2008
Last Update Date : 03/29/2008

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Directions to “GOLDEN ABBEY ENTERPRISES II INC ” Practice Location

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