Organization
AGVMDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO GOMEZ VELIZ M.D. (PRESIDENT)
(786) 519-9990
Entity
Organization
Contact information
Practice address
9999 NE 2ND AVE, SUITE 119, MIAMI SHORES, FL 33138-2352
(305) 756-4400
Mailing address
2150 SANS SOUCI BLVD APT 508, NORTH MIAMI, FL 33181-3010
(786) 519-9990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME118780
FL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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