Organization
JOAQUIN A. GOMEZ, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAQUIN ALBERTO GOMEZ M.D. (PRESIDENT)
(305) 228-7120
Entity
Organization
Contact information
Practice address
2760 SW 97TH AVE, #105, MIAMI, FL 33165-2684
(305) 228-7120
(305) 228-6153
Mailing address
2760 SW 97TH AVE, #105, MIAMI, FL 33165-2684
(305) 228-7120
(305) 228-6153
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 75444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254051700
—
FL
Enumeration date
01/30/2007
Last updated
07/14/2011
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