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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235132085 NPPES
Florida MEDICAID 252757000

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