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GAPS
NPI 1104520717
Internal Medicine in Crystal River, FL

Active since March 28, 2023
6405 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429(352) 684-8736 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2023, Mar 28, 2023 (2 updates tracked since 2023).

About Gaps NPPES

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

GAPS (NPI 1104520717) is a healthcare organization registered as an internal medicine in Crystal River, Florida and active in the NPI registry since March 2023. The organization lists Dacelin St. Martin, Provider, as its authorized official.

NPPES Registry Identity

NPI1104520717
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGOLDEN AGE PHYSICIAN SPECIALISTS LLC
Location Address6405 W GULF TO LAKE HWYCrystal River, FL 34429-9354
Mailing AddressPo Box 2066Lecanto, FL 34460-2066 · (352) 684-8736
Phone(352) 684-8736
Organization SubpartNo
Authorized OfficialDacelin St. MartinProvider · (352) 684-8736
Enumeration DateMarch 28, 2023
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1104520717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
6405 W GULF TO LAKE HWY, Crystal River, FL 34429
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Other Names 1

Other NameGaps

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SCOFA LLC
Durable Medical Equipment & Medical Supplies
6405 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Citrus County (352) 527-6888
SICKNWELL MEDICAL GROUP, PA
Clinic/Center (Multi-Specialty)
6405 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429
Citrus County (352) 527-6888

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 Golden Age Physician Specialists LLC's NPI number?

The NPI number for Golden Age Physician Specialists LLC is 1104520717. It was assigned to this organization in the NPPES registry on March 28, 2023. The provider is also known as Gaps.

Where is Golden Age Physician Specialists LLC located?

Golden Age Physician Specialists LLC is located at 6405 W Gulf To Lake Hwy, Crystal River, FL 34429. The listed phone number is (352) 684-8736.

What is Golden Age Physician Specialists LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Golden Age Physician Specialists LLC was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.