Individual
DR. MICHAEL J GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PA
Contact information
Practice address
8925 SW 148TH ST STE 110, VILLAGE OF PALMETTO BAY, FL 33176-8000
(786) 573-4470
(305) 969-1699
Mailing address
5815 SW 45 TERRACE, MIAMI, FL 33155
(305) 742-7767
(305) 969-1699
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME94251
FL
261Q00000X
Clinic/Center
ME94251
FL
Other
Enumeration date
03/26/2007
Last updated
03/24/2009
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