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Individual

ROBERTO A GOMEZ-SUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1717 SOUTH ORANGE AVE., SUITE #100, MELBOURNE, FL 32901-3224
(407) 650-7000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2010-01413
NC

Other

Enumeration date
06/04/2007
Last updated
05/28/2013
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