Organization
MENCIA M GOMEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MENCIA M GOMEZ MD (PRESIDENT)
(754) 333-9815
Entity
Organization
Contact information
Practice address
1946 TYLER ST, HOLLYWOOD, FL 33020-4517
(754) 333-9815
(571) 386-2627
Mailing address
1946 TYLER ST, HOLLYWOOD, FL 33020-4517
(754) 333-9815
(571) 386-2627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME121955
FL
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/27/2017
Last updated
06/06/2024
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