Organization
MICHAEL J GOMEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL J GOMEZ MD (OWNER)
(305) 742-7767
Entity
Organization
Contact information
Practice address
8925 SW 148TH ST, SUITE 110, VILLAGE OF PALMETTO BAY, FL 33176-8000
(305) 742-7767
(786) 228-0423
Mailing address
8925 SW 148TH ST, SUITE 110, VILLAGE OF PALMETTO BAY, FL 33176-8000
(305) 742-7767
(786) 228-0423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME94251
LICENSE
FL
Enumeration date
02/27/2009
Last updated
02/27/2009
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