# GOMEZ MAXILLOFACIAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gomez Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942001995
- **Authorized official:** FRANKIE GOMEZ DMD (OWNER/CEO)
- **Authorized official phone:** (407) 629-0075

## Contact information

- **Practice address:** 201 N LAKEMONT AVE STE 2200, WINTER PARK, FL 32792-3208
- **Practice address phone:** (407) 629-0075
- **Practice address fax:** (407) 629-0027
- **Mailing address:** 201 N LAKEMONT AVE STE 2200, WINTER PARK, FL 32792-3208
- **Mailing address phone:** (407) 629-0075
- **Mailing address fax:** (407) 629-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2025
- **Last updated:** 03/24/2025
