Gomez, Jorge

Gomez, Jorge is an sole proprietor health care provider with primary practice located at 1355 South International Parkway Suite 1451, Lake Mary FL 32746-1694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gomez, Jorge can be contacted via phone (407) 333-9888.

Contact Information

Primary practice address
1355 South International Parkway Suite 1451 Lake Mary FL 32746-1694
Phone: (407) 333-9888
Fax: (407) 333-9444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0015929 Florida

Profile Details

NPI number 1568443356
LBN Legal business name Gomez, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Dec 20th, 2018 - about 6 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 1568443356 NPPES
Florida MEDICAID 049702900
Florida Other 112886230

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