Individual
COSME A GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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