Organization
DRS. CUKIERMAN & GOMEZ, INC
Active
Other names
Advanced Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A GOMEZ O.D. (VICE PRESIDENT)
(954) 471-6453
Entity
Organization
Contact information
Practice address
5865 N UNIVERSITY DR, TAMARAC, FL 33321-4617
(954) 720-7201
(954) 726-6457
Mailing address
5865 N UNIVERSITY DR, TAMARAC, FL 33321-4617
(954) 720-7201
(954) 726-6457
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103620900
—
FL
Enumeration date
10/13/2013
Last updated
08/07/2020
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