Individual
DR. EMILIO J GOMEZ-MADRAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6280 SUNSET DR STE 408, SOUTH MIAMI, FL 33143-4860
(305) 441-7999
(305) 441-8020
Mailing address
6280 SUNSET DR STE 408, SOUTH MIAMI, FL 33143-4860
(305) 441-7999
(305) 441-8020
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME67905
FL
207VG0400X
Gynecology Physician
ME67905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250913000
—
FL
01
—
BC538
MEDICARE ID
FL
Enumeration date
04/18/2006
Last updated
02/23/2015
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