Individual
DR. MICHAEL ALEXANDER GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1770 W 32ND PL, HIALEAH, FL 33012-4512
(305) 885-4477
Mailing address
1447 NW 156TH AVE, PEMBROKE PINES, FL 33028-1665
(954) 430-9564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101685200
—
FL
Enumeration date
01/22/2007
Last updated
03/20/2020
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