Jorge Gomez Md Pa

LBN: Jorge Gomez Md Pa
Jorge Gomez Md Pa is an health care organization with primary practice located at 1355 S International Pkwy 1451, Lake Mary FL 32746-1694. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Jorge Gomez Md Pa can be contacted via phone (407) 333-9888, or through Gomez Amador, Jorge via phone (407) 333-9888.

Contact Information

Primary practice address
1355 S International Pkwy 1451 Lake Mary FL 32746-1694
Fax: (407) 333-9444
Website:
Authorized official contact:
Name: Gomez Amador, Jorge Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1831421403
LBN Legal business name Jorge Gomez Md Pa
DBA Doing business as
Authorized official Gomez Amador, Jorge Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2010
Last updated Dec 20th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831421403 NPPES
Florida MEDICAID 049702900

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