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Individual

FRANCISCO JAVIER GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18550 US HIGHWAY 441, SUITE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151
Mailing address
18550 US HIGHWAY 441, SUITE A, MOUNT DORA, FL 32757-6751
(352) 735-3755
(352) 735-3151

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-069762
OH
207R00000X
Internal Medicine Physician
Primary
ME 105557
FL
207RI0200X
Infectious Disease Physician
35-069762
OH
207RI0200X
Infectious Disease Physician
ME105557
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01699200
FL
01
110233747
RAIL ROAD MEDICARE
OH
05
200317770
IN
05
2328289
OH
05
64963705
KY
Enumeration date
04/21/2006
Last updated
03/09/2016
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