Provider Demographics
NPI:1679449425
Name:GOLD SERVICE HEALTH CARE LLC
Entity type:Organization
Organization Name:GOLD SERVICE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DON
Authorized Official - Prefix:
Authorized Official - First Name:SORAIMA
Authorized Official - Middle Name:MODESTA
Authorized Official - Last Name:BRAVO MARROQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-286-6882
Mailing Address - Street 1:8600 NW SOUTH RIVER DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7405
Mailing Address - Country:US
Mailing Address - Phone:786-286-6882
Mailing Address - Fax:786-391-2011
Practice Address - Street 1:8600 NW SOUTH RIVER DR STE 220
Practice Address - Street 2:
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-7405
Practice Address - Country:US
Practice Address - Phone:786-286-6882
Practice Address - Fax:786-391-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care