Provider Demographics
NPI:1730150715
Name:ANDRE J GOLINO MD AND ASSOCIATES PA
Entity type:Organization
Organization Name:ANDRE J GOLINO MD AND ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-832-6113
Mailing Address - Street 1:130 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-6106
Mailing Address - Country:US
Mailing Address - Phone:561-832-6113
Mailing Address - Fax:561-833-3003
Practice Address - Street 1:130 BUTLER ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6106
Practice Address - Country:US
Practice Address - Phone:561-832-6113
Practice Address - Fax:561-833-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL039067400Medicaid
321739OtherUNITED HEALTHCARE
FL72218OtherBCBS
FL087002OtherEVERCARE/UNITED HEALTHCARE
5142646OtherCIGNA
FLCA4420OtherRAILROAD MEDICARE
CA4420OtherRAILROAD MEDICARE
CA4420OtherRAILROAD MEDICARE
321739OtherUNITED HEALTHCARE