Organization
DOMINGO GOMEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINGO GOMEZ MD (PRESIDENT)
(305) 364-3404
Entity
Organization
Contact information
Practice address
415 W 49TH ST, A, HIALEAH, FL 33012-3637
(305) 364-3404
(305) 364-3433
Mailing address
415 W 49TH ST, A, HIALEAH, FL 33012-3637
(305) 364-3404
(305) 364-3433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0029637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255666900
—
FL
Enumeration date
07/02/2006
Last updated
10/28/2011
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