Individual
JORGE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1355 SOUTH INTERNATIONAL PARKWAY, SUITE 1451, LAKE MARY, FL 32746-1694
(407) 333-9888
(407) 333-9444
Mailing address
1355 SOUTH INTERNATIONAL PARKWAY, SUITE 1451, LAKE MARY, FL 32746-1694
(407) 333-9888
(407) 333-9444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0015929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049702900
—
FL
01
—
112886230
ZR MED
—
Enumeration date
11/08/2005
Last updated
12/20/2018
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