Gomara, Luis Andres

Gomara, Luis Andres is an individual health care provider with primary practice located at 125 Ne 8Th St Suite # 1, Homestead FL 33030-4676. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gomara, Luis Andres can be contacted via phone (786) 243-2438.

Contact Information

Primary practice address
125 Ne 8Th St Suite # 1 Homestead FL 33030-4676
Phone: (786) 243-2438
Fax: (305) 247-5744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN0013322 Florida

Profile Details

NPI number 1659381879
LBN Legal business name Gomara, Luis Andres
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659381879 NPPES
Florida MEDICAID 074957501
Florida MEDICAID 074957502
Florida MEDICAID 074957500

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