Individual
ALEXEI GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13595 SW 134TH AVE STE 104, MIAMI, FL 33186-4579
(786) 864-1030
Mailing address
13595 SW 134TH AVE STE 104, MIAMI, FL 33186-4579
(786) 864-1030
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC12289
FL
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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