Gomez, Domingo

Gomez, Domingo is an individual health care provider with primary practice located at 415 W 49Th St Ste 1 , Hialeah FL 33012-3637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Gomez, Domingo can be contacted via phone (305) 364-3404.

Contact Information

Primary practice address
415 W 49Th St Ste 1 Hialeah FL 33012-3637
Phone: (305) 364-3404
Fax: (305) 364-3433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME0029637 Florida

Profile Details

NPI number 1023040243
LBN Legal business name Gomez, Domingo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 10th, 2015 - about 9 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 1023040243 NPPES
Florida MEDICAID 255666900

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