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Organization
LESLIE A GOMEZ DO PA
Active
Organization
LESLIE A GOMEZ DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A GOMEZ DO (PRESIDENT)
(941) 746-4151
Entity
Organization
Contact information
Practice address
250 2ND ST E, STE 3B, BRADENTON, FL 34208-1029
(941) 746-4151
(941) 746-4345
Mailing address
250 2ND ST E, STE 3B, BRADENTON, FL 34208-1029
(941) 746-4151
(941) 746-4345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A7G
FL BLUE
FL
05
—
015528000
—
FL
01
—
DW3648
MEDICARE RAILROAD
FL
Enumeration date
07/02/2015
Last updated
05/12/2016
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