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ANGELA GOMEZ MD PA NPI 1679805998


NPI Information

NPI: 1679805998
Provider Name: ANGELA GOMEZ MD PA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
747 PONCE DE LEON BLVD
SUITE 606
CORAL GABLES, FL
ZIP 33134
Phone: (305) 444-7779
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ANGELA GOMEZ MD PA is a clinic center in Coral Gables, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ANGELA GOMEZ MD PA NPI is 1679805998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

747 PONCE DE LEON BLVD
SUITE 606
CORAL GABLES, FL
ZIP 33134-074
Phone: (305) 444-7779
Fax: (305) 444-7290

The provider's authorized official is Angela A Gomez .
The authorized official title is President and has the following contact phone number (305) 444-7779.

The enumeration date for this NPI number is 2/11/2010 and was last updated on 5/1/2013.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismME82920FLORIDANo
2261Q00000XClinic/CenterYes

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
1262760400MEDICAIDFLORIDA
2E6734MEDICARE 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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