Organization
ABC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS F GOMEZ MD (MD)
(850) 689-0900
Entity
Organization
Contact information
Practice address
1403 CATMAR RD, NICEVILLE, FL 32578-9742
(850) 689-0900
Mailing address
1403 CATMAR RD, NICEVILLE, FL 32578-9742
(850) 689-0900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267526900
—
FL
05
—
267526901
—
FL
Enumeration date
07/01/2011
Last updated
07/01/2011
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