Gomes, Antonio C

Gomes, Antonio C is an individual health care provider with primary practice located at 2906 17Th St , Saint Cloud FL 34769-6006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gomes, Antonio C can be contacted via phone (407) 425-4847.

Contact Information

Primary practice address
2906 17Th St Saint Cloud FL 34769-6006
Fax: (904) 346-0113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0046927 Florida

Profile Details

NPI number 1962500892
LBN Legal business name Gomes, Antonio C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
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 1962500892 NPPES
Florida MEDICAID 0422036100
Florida Other 47778

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