Provider Demographics
NPI:1780249094
Name:GOLDORO DEVELOPMENTS INC
Entity type:Organization
Organization Name:GOLDORO DEVELOPMENTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-610-4653
Mailing Address - Street 1:5601 CORPORATE WAY STE 307
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2043
Mailing Address - Country:US
Mailing Address - Phone:561-686-0506
Mailing Address - Fax:561-687-5601
Practice Address - Street 1:1799 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7412
Practice Address - Country:US
Practice Address - Phone:561-587-0337
Practice Address - Fax:561-687-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)Group - Single Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology