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EDUARDO G GOMEZ MD PA NPI 1053460360


NPI Information

NPI: 1053460360
Provider Name: EDUARDO G GOMEZ MD PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1840 W 49TH ST
SUITE 607
HIALEAH, FL
ZIP 33012
Phone: (305) 556-7416
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EDUARDO G GOMEZ MD PA is a hematology and oncology internal medicine in Hialeah, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. EDUARDO G GOMEZ MD PA NPI is 1053460360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1840 W 49TH ST
SUITE 607
HIALEAH, FL
ZIP 33012-942
Phone: (305) 556-7416
Fax: (305) 824-0879

The provider's authorized official is Eduardo G Gomez .
The authorized official title is President and has the following contact phone number (305) 556-7416.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 4/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1038802500MEDICAIDFLORIDA
21578538542OTHERFLORIDANPI FOR DR. GOMEZ INDIV.
3E81526MEDICARE UPINFLORIDA
4ME0035412OTHERFLORIDAMEDICAL LICENSE
595397UMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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