Provider Demographics
NPI:1568267144
Name:GOLDEN HEALTH PRACTITIONERS INC.
Entity type:Organization
Organization Name:GOLDEN HEALTH PRACTITIONERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ACLOQUE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC
Authorized Official - Phone:860-514-6368
Mailing Address - Street 1:18 WEYANOKE LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-4055
Mailing Address - Country:US
Mailing Address - Phone:860-514-6368
Mailing Address - Fax:
Practice Address - Street 1:180 PINNACLES DR STE 201
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2597
Practice Address - Country:US
Practice Address - Phone:904-325-9585
Practice Address - Fax:386-310-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service