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Organization
MICHAEL A GOMEZ, PA
Active
Organization
MICHAEL A GOMEZ, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A GOMEZ O.D. (OPTOMETRIST/OWNER)
(954) 471-6453
Entity
Organization
Contact information
Practice address
1770 W 32ND PL, HIALEAH, FL 33012-4512
(305) 885-4477
(305) 885-2396
Mailing address
1447 NW 156TH AVE, PEMBROKE PINES, FL 33028-1665
(954) 430-9564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103885400
—
FL
Enumeration date
10/26/2010
Last updated
03/24/2020
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