| Golden Gate Dental | |
|
1454 Madison Ave W Immokalee FL 34142-2200 | |
| (239) 658-3000 | |
| (239) 658-3175 |
| Full Name | Golden Gate Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1454 Madison Ave W, Immokalee, Florida |
| Authorized Official Name and Position | Sandra E Steele (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2396583003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Gate Dental 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 | Golden Gate Dental 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 |
| NPI Number | 1043425952 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043425952 | NPI | - | NPPES |
| 683955000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 | |
Marion E Fether Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 Fax: 239-658-3175 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-932-6935 | |
Healthcare Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 | |
Marion E Fether Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3063 | |
Healthcare Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1441 Heritage Blvd, Immokalee, FL 34142 Phone: 239-658-3000 |