Organization
JORGE GOMEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE GOMEZ AMADOR MD (PRESIDENTE)
(407) 333-9888
Entity
Organization
Contact information
Practice address
1355 S INTERNATIONAL PKWY, 1451, LAKE MARY, FL 32746-1694
(407) 333-9888
(407) 333-9444
Mailing address
1355 S INTERNATIONAL PKWY, 1451, LAKE MARY, FL 32746-1694
(407) 333-9888
(407) 333-9444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049702900
—
FL
Enumeration date
02/08/2010
Last updated
12/20/2018
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