Provider Demographics
NPI:1003887084
Name:ANDRE J GOLINO MD AND ASSOCIATES PA
Entity Type:Organization
Organization Name:ANDRE J GOLINO MD AND ASSOCIATES PA
Other - Org Name:PALM BEACH EYE CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-832-6113
Mailing Address - Street 1:130 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-6106
Mailing Address - Country:US
Mailing Address - Phone:561-832-6113
Mailing Address - Fax:561-833-3003
Practice Address - Street 1:130 BUTLER ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6106
Practice Address - Country:US
Practice Address - Phone:561-832-6113
Practice Address - Fax:561-833-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLW85442Medicare UPIN
3928280001Medicare NSC