Domingo Gomez Md Pa

LBN: Domingo Gomez Md Pa
Domingo Gomez Md Pa is an health care organization with primary practice located at 415 W 49Th St A, Hialeah FL 33012-3637. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Domingo Gomez Md Pa can be contacted via phone (305) 364-3404, or through Gomez, Domingo via phone (305) 364-3404.

Contact Information

Primary practice address
415 W 49Th St A Hialeah FL 33012-3637
Phone: (305) 364-3404
Fax: (305) 364-3433
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Domingo Doctor of Medicine (MD)
Phone: (305) 364-3404

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME0029637 Florida

Profile Details

NPI number 1780613687
LBN Legal business name Domingo Gomez Md Pa
DBA Doing business as
Authorized official Gomez, Domingo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Oct 28th, 2011 - about 15 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 1780613687 NPPES
Florida MEDICAID 255666900

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