Gomez, Manuel Joaquin

Gomez, Manuel Joaquin is an individual health care provider with primary practice located at 925 Ne 30Th Ter Ste 202 , Homestead FL 33033-7614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gomez, Manuel Joaquin can be contacted via phone (305) 246-1030.

Contact Information

Primary practice address
925 Ne 30Th Ter Ste 202 Homestead FL 33033-7614
Phone: (305) 246-1030
Fax: (305) 246-2387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME92538 Florida

Profile Details

NPI number 1245274232
LBN Legal business name Gomez, Manuel Joaquin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 29th, 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 1245274232 NPPES
Florida MEDICAID 0037187900
Florida Other ME92538
Florida MEDICAID 021675800

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