Provider Profile
GOLDEN MEDICAL CENTER LLC
Health Care Clinic
FACILITY PROFILE
Street Address
- 12012 MIRAMAR PKWY
MIRAMAR, FL 33025-7000
County: Broward - Phone: (786) 452-6189
Mailing Address
- 12012 MIRAMAR PKWY
MIRAMAR, FL 33025-7000
County: Broward - Phone: (786) 452-6189
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||
| Medical or Clinic Director: | JOSE A RODRIGUEZ | ||||||
| Administrator: | DAYLIN GARCIA PEREZ | ||||||
| Owner/Licensee: | GOLDEN MEDICAL CENTER LLC | ||||||
| Owner/Licensee Since: | 9/24/2020 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 13390 | ||||||
| AHCA Field Office: | 10 | ||||||
| License Number: | 12552 | ||||||
| Current License Effective: | 6/17/2024 | ||||||
| Current License Expires: | 12/16/2024 | ||||||
| License Status: | IN REVIEW | ||||||
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Services/Characteristics
| Specialty: | PIP Recipient |
| Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.