Organization
ANI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILO R GOMEZ M.D. (OWNER)
(205) 874-8787
Entity
Organization
Contact information
Practice address
513 BROOKWOOD BLVD, SUITE #405, BIRMINGHAM, AL 35209-6862
(205) 874-8787
(205) 802-6801
Mailing address
513 BROOKWOOD BLVD, SUITE #405, BIRMINGHAM, AL 35209-6862
(205) 874-8787
(205) 802-6801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529927640
—
AL
Enumeration date
06/20/2006
Last updated
10/26/2007
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