Gomez, Jorge Williams

Gomez, Jorge Williams is an individual health care provider with primary practice located at 483 N Semoran Blvd Ste 102 , Winter Park FL 32792-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gomez, Jorge Williams can be contacted via phone (407) 645-1847.

Contact Information

Primary practice address
483 N Semoran Blvd Ste 102 Winter Park FL 32792-3800
Fax: (321) 274-0246
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X HE1281 Florida

Profile Details

NPI number 1568490902
LBN Legal business name Gomez, Jorge Williams
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 21st, 2022 - about 2 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 1568490902 NPPES
Other BG 3127809 FEDERAL NARCOTICS
MEDICAID 370519600 FEDERAL NARCOTICS

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