Golden, Marla
Golden, Marla is an individual health care provider with primary practice located at 6817 Southpoint Pkwy Suite 1404, Jacksonville FL 32216-6282. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Golden, Marla can be contacted via phone (904) 260-1070.Contact Information
Primary practice address
6817 Southpoint Pkwy Suite 1404
Jacksonville FL 32216-6282
Phone: (904) 260-1070
Fax: (904) 260-1170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | OS5788 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS5788 | Florida |
Profile Details
| NPI number | 1366466294 |
|---|---|
| LBN Legal business name | Golden, Marla |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Mar 23rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366466294 | NPPES |
| Florida | Other | 80365 | BCBS |
| Florida | MEDICAID | 2811171-00 | BCBS |
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