Organization
GOMEZ ORTHOTIC SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL ALEJANDRO GOMEZ (TECHNICAL MANAGER)
(832) 622-9095
Entity
Organization
Contact information
Practice address
4809 MEMORIAL HWY, TAMPA, FL 33634-7515
(713) 870-4163
Mailing address
4737 DOLPHIN CAY LN S APT 303, SAINT PETERSBURG, FL 33711-4671
(832) 622-9095
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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