Provider Demographics
NPI:1932997574
Name:FAMILY AND FUNCTIONAL GOLD CARE CENTER INC.
Entity type:Organization
Organization Name:FAMILY AND FUNCTIONAL GOLD CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELESTINO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ FIGUEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FNP, CFNMP
Authorized Official - Phone:305-910-9678
Mailing Address - Street 1:300 RIVERSIDE DR E STE 2400
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1006
Mailing Address - Country:US
Mailing Address - Phone:305-910-9678
Mailing Address - Fax:
Practice Address - Street 1:300 RIVERSIDE DR E STE 2400
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1006
Practice Address - Country:US
Practice Address - Phone:305-910-9678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care