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Individual

PETER L GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8940 N KENDALL DR, STE 703E, MIAMI, FL 33176
(305) 279-3400
(305) 279-3988
Mailing address
8940 N KENDALL DR, STE 703F, MIAMI, FL 33176
(305) 279-3400
(305) 279-3988

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3345
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23007
BCBS
FL
05
620641700
FL
Enumeration date
10/02/2006
Last updated
07/01/2010
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