OrganizationOur Golden Medical CenterGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address12781 SW Bird Rd, Suite H, Miami, FL 33175(305) 229-3990PECOS EnrollmentBased on the most recent information from CMS, provider Our Golden Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1689650038Provider TypeOrganizationFull NameOur Golden Medical CenterSubpartNoEnumeration Date12/19/2005Last Updated9/18/2007Contact InformationPractice LocationPractice Address12781 SW Bird Rd, Suite H, Miami, FL 33175Phone(305) 229-3990FaxUnlisted FaxMailing LocationMailing Address12553 SW 224th St, Miami, FL 33170-6327PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameCastro, Mayra (President)Phone(305) 258-1425Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseME81667Florida