| Go Medical Corp | |
|
601 Howard St E Live Oak FL 32064-3401 | |
| (786) 873-7045 | |
| Not Available |
| Full Name | Go Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 601 Howard St E, Live Oak, Florida |
| Authorized Official Name and Position | Giraldo Olivera (CEO) |
| Authorized Official Contact | 3863206900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Medical Corp 601 Howard St E Live Oak FL 32064-3401 Ph: (786) 873-7045 | Go Medical Corp 601 Howard St E Live Oak FL 32064-3401 Ph: (786) 873-7045 |
| NPI Number | 1275399289 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 01/23/2025 |
| Medicare PECOS PAC ID | 7618402009 |
|---|---|
| Medicare Enrollment ID | O20241121003331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275399289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Giraldo Olivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508488503 PECOS PAC ID: 2961817648 Enrollment ID: I20210210000227 |
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