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Individual

MR. MARIO A GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 NE 30TH TER, SUITE 300, HOMESTEAD, FL 33033-7614
(786) 377-2500
(786) 377-2501
Mailing address
925 NE 30TH TER, SUITE 300, HOMESTEAD, FL 33033-7614
(786) 377-2500
(786) 377-2501

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME102113
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001046400
FL
Enumeration date
05/08/2008
Last updated
08/19/2011
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