Gold Primary Care, Llc | |
401 Corbett St Suite 320 Belleair FL 33756-7309 | |
(727) 900-7011 | |
(888) 349-9247 |
Full Name | Gold Primary Care, Llc |
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Speciality | Clinic/Center |
Location | 401 Corbett St, Belleair, Florida |
Authorized Official Name and Position | Andreas Menesses Grossgold (MEDICAL DIRECTOR) |
Authorized Official Contact | 7273303845 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gold Primary Care, Llc 401 Corbett St Suite 320 Belleair FL 33756-7309 Ph: (727) 900-7011 | Gold Primary Care, Llc 401 Corbett St Suite 320 Belleair FL 33756-7309 Ph: (727) 900-7011 |
NPI Number | 1811367923 |
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Provider Enumeration Date | 10/01/2015 |
Last Update Date | 10/01/2015 |
Medicare PECOS PAC ID | 1850600180 |
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Medicare Enrollment ID | O20151027001975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811367923 | NPI | - | NPPES |
006688000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME113826 (Florida) | Primary |
Provider Name | Andreas M Grossgold |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750638243 PECOS PAC ID: 8921256306 Enrollment ID: I20120910000099 |
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