| Golden Gate Family Clinic | |
|
5475 Golden Gate Pkwy Suite # 7 Naples FL 34116-7529 | |
| (239) 775-3100 | |
| (239) 775-3107 |
| Full Name | Golden Gate Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5475 Golden Gate Pkwy, Naples, Florida |
| Authorized Official Name and Position | Vava Y. Nyanudor (PRESIDENT) |
| Authorized Official Contact | 2397753100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Gate Family Clinic 5475 Golden Gate Pkwy Suite # 7 Naples FL 34116-7529 Ph: (239) 775-3100 | Golden Gate Family Clinic 5475 Golden Gate Pkwy Suite # 7 Naples FL 34116-7529 Ph: (239) 775-3100 |
| NPI Number | 1598934838 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 09/05/2008 |
| Medicare PECOS PAC ID | 4981770245 |
|---|---|
| Medicare Enrollment ID | O20080910000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598934838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME74588 (Florida) | Primary |
| Provider Name | Vava Y Nyanudor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104922053 PECOS PAC ID: 6305923913 Enrollment ID: I20080407000623 |
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