Provider Demographics
NPI:1881281525
Name:GOLD STANDARD TELEMEDICINE, LLC
Entity type:Organization
Organization Name:GOLD STANDARD TELEMEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TELMOSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-684-3995
Mailing Address - Street 1:2980 NE 207TH ST STE 406
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1462
Mailing Address - Country:US
Mailing Address - Phone:954-684-3995
Mailing Address - Fax:
Practice Address - Street 1:2980 NE 207TH ST STE 406
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1462
Practice Address - Country:US
Practice Address - Phone:954-684-3995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty