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Individual

COSME A GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7600 SW 87TH AVE, SUITE 206, MIAMI, FL 33173-3601
(305) 275-5525
(305) 275-0662
Mailing address
7600 SW 87TH AVE, SUITE 206, MIAMI, FL 33173-3601
(305) 275-5525
(305) 275-0662

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 59567
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05051
NHP
FL
01
18798
BLUE CROSS BLUE SHIELD
FL
01
2000585
AETNA
FL
01
206819
AVMED
FL
05
271580500
FL
01
P00239428
RAILROAD MEDICARE
FL
Enumeration date
01/27/2006
Last updated
12/12/2011
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