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MEDICAL GOLDEN CLINIC LLC
NPI 1073082236
General Practice in Kissimmee, FL

Active since November 16, 2018CLIA 10D2172209 · Waiver
3230 HILLSDALE LN, KISSIMMEE, FL 34741(407) 413-3200(407) 350-3007 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Aug 13, 2019, Nov 16, 2018 (3 updates tracked since 2018).

About Medical Golden Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL GOLDEN CLINIC LLC (NPI 1073082236) is a healthcare organization registered as a general practice in Kissimmee, Florida and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Hector J Nieves-davila, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073082236
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL GOLDEN CLINIC LLC
Location Address3230 HILLSDALE LNKissimmee, FL 34741-7562
Mailing Address11310 S Orange Blossom Trl Ste 109Orlando, FL 32837-9421 · (407) 413-3200
Phone(407) 413-3200
Fax(407) 350-3007
Organization SubpartNo
Authorized OfficialHector J Nieves-davilaCeo · (787) 955-6920
Enumeration DateNovember 16, 2018
Last NPPES UpdateApril 10, 20263 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1073082236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3230 HILLSDALE LN, Kissimmee, FL 34741
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2172209

Medical Golden Clinic, LLC · Orlando, FL
Active · expires Sep 17, 2027
CLIA Number10D2172209
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorIleana Aponte-Camacho
Laboratory Phone(407) 413-3200
Laboratory LocationMedical Golden Clinic, LLC4365 Hunters Park Ln #10, Orlando, FL 32837
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELISSE MARIE MARTINEZ NP
Nurse Practitioner (Primary Care)
3230 HILLSDALE LN
KISSIMMEE, FL 34741
Osceola County (407) 785-1967
DR. AMER ANSARI DO
Pain Medicine (Interventional Pain Medicine)
3230 HILLSDALE LN
KISSIMMEE, FL 34741
Osceola County (407) 785-1967
UA SPINE & JOINT CARE LLC
Pain Medicine (Interventional Pain Medicine)
3230 HILLSDALE LN
KISSIMMEE, FL 34741
Osceola County (407) 785-1967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Golden Clinic LLC's NPI number?

The NPI number for Medical Golden Clinic LLC is 1073082236. It was assigned to this organization in the NPPES registry on November 16, 2018.

Where is Medical Golden Clinic LLC located?

Medical Golden Clinic LLC is located at 3230 Hillsdale Ln, Kissimmee, FL 34741. The listed phone number is (407) 413-3200.

What is Medical Golden Clinic LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Medical Golden Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2172209) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Golden Clinic LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.