Mario Gomez Md Pa

LBN: Mario Gomez Md Pa
Mario Gomez Md Pa is an health care organization with primary practice located at 925 Ne 30Th Ter Suite 300, Homestead FL 33033-7613. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Mario Gomez Md Pa can be contacted via phone (786) 256-4174, or through Gomez, Mario via phone (786) 256-4174.

Contact Information

Primary practice address
925 Ne 30Th Ter Suite 300 Homestead FL 33033-7613
Phone: (786) 256-4174
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Mario Doctor of Medicine (MD)
Phone: (786) 256-4174

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME102113 Florida

Profile Details

NPI number 1538458153
LBN Legal business name Mario Gomez Md Pa
DBA Doing business as
Authorized official Gomez, Mario Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2011
Last updated Apr 5th, 2011 - about 13 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 1538458153 NPPES
Florida MEDICAID 001046400

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