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Organization
EDUARDO G GOMEZ MD PA
Active
Organization
EDUARDO G GOMEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO G GOMEZ MD PA (PRESIDENT)
(305) 556-7416
Entity
Organization
Contact information
Practice address
1840 W 49TH ST, SUITE 607, HIALEAH, FL 33012-2942
(305) 556-7416
(305) 824-0879
Mailing address
1840 W 49TH ST, SUITE 607, HIALEAH, FL 33012-2942
(305) 556-7416
(305) 824-0879
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038802500
—
FL
01
—
1578538542
NPI FOR DR. GOMEZ INDIV.
FL
01
—
ME0035412
MEDICAL LICENSE
FL
Enumeration date
01/09/2007
Last updated
04/23/2013
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