Individual
MR. JULIO A GOMEZ DE MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 W 67TH ST, HIALEAH, FL 33012-6467
(305) 965-6098
Mailing address
928 W 67TH ST, HIALEAH, FL 33012-6467
(305) 965-6098
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA-64739
FL
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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