Da Costa Gomez, Carol Ana
Da Costa Gomez, Carol Ana is an sole proprietor health care provider with primary practice located at 15671 Sw 88Th St , Miami FL 33196-1103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Da Costa Gomez, Carol Ana can be contacted via phone (305) 752-6465.Contact Information
Primary practice address
15671 Sw 88Th St
Miami FL 33196-1103
Phone: (305) 752-6465
Fax: (305) 752-6467
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 73650 | Florida |
Profile Details
NPI number | 1235132085 |
---|---|
LBN Legal business name | Da Costa Gomez, Carol Ana |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 24th, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235132085 | NPPES |
Florida | MEDICAID | 252757000 |
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