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Individual

DR. JOAQUIN A. GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2760 SW 97TH AVE, SUITE 105, MIAMI, FL 33165-2684
(305) 228-7120
(305) 228-6153
Mailing address
2760 SW 97TH AVE, SUITE 105, MIAMI, FL 33165-2684
(305) 228-7120
(305) 228-6153

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME75444
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254051700
FL
Enumeration date
08/03/2006
Last updated
09/06/2011
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