Individual
DR. DOMINGO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 W 49TH ST STE 1, HIALEAH, FL 33012-3637
(305) 364-3404
(305) 364-3433
Mailing address
415 W 49TH ST STE 1, HIALEAH, FL 33012-3637
(305) 364-3404
(305) 364-3433
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME0029637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255666900
—
FL
Enumeration date
07/07/2006
Last updated
07/10/2015
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