Organization
JUAN CAMILO GOMEZ MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CAMILO GOMEZ MD (OWNER)
(305) 283-8375
Entity
Organization
Contact information
Practice address
2601 SW 37TH AVE STE 904, CORAL GABLES, FL 33133-2751
(305) 283-8375
Mailing address
2601 SW 37TH AVE STE 904, CORAL GABLES, FL 33133-2751
(305) 283-8375
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
07/31/2019
Last updated
06/22/2020
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