Individual
DR. CAROL ANA DA COSTA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15671 SW 88TH ST, MIAMI, FL 33196-1103
(305) 752-6465
(305) 752-6467
Mailing address
15671 SW 88TH ST, MIAMI, FL 33196-1103
(305) 752-6465
(305) 752-6467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252757000
—
FL
Enumeration date
05/24/2005
Last updated
07/08/2007
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