Provider Demographics
NPI:1992537286
Name:GO MD USA CARE LLC
Entity type:Organization
Organization Name:GO MD USA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:APOLLO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCALLANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-675-0044
Mailing Address - Street 1:3385 AIRWAYS BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-3808
Mailing Address - Country:US
Mailing Address - Phone:561-675-0044
Mailing Address - Fax:
Practice Address - Street 1:860 US HIGHWAY 1 # 102C
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3879
Practice Address - Country:US
Practice Address - Phone:561-675-0044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center