Individual
DR. RAFAEL T. GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 NE 55TH BOULEVARD, NFETC, GAINESVILLE, FL 32641-2759
(352) 375-8484
(352) 264-8304
Mailing address
1200 NE 55TH BOULEVARD, NORTH FLORIDA EDUCATION & TREATMENT CENTER, GAINESVILLE, FL 32641-2759
(352) 375-8484
(352) 264-8304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25088
FL
2084P0800X
Psychiatry Physician
ME25088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056477000
—
FL
Enumeration date
09/16/2006
Last updated
08/07/2009
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