Provider Profile
GOLDEN YEARS SERVICING LLC
Health Care Clinic
FACILITY PROFILE
Street Address
- 12700 SW 128TH ST STE 108
MIAMI, FL 33186
County: Miami-Dade - Phone: (786) 227-6258
Mailing Address
- 12700 SW 128TH ST STE 108
MIAMI, FL 33186
County: Miami-Dade - Phone: (786) 227-6258
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||
| Medical or Clinic Director: | ROBERT KIM | ||||||
| Administrator: | CARLOS ESTRADA | ||||||
| Owner/Licensee: | GOLDEN YEARS SERVICING LLC | ||||||
| Owner/Licensee Since: | 4/14/2021 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 13503 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 12719 | ||||||
| Current License Effective: | 4/14/2025 | ||||||
| Current License Expires: | 4/13/2027 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| 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.