Gomez, Michael Alexander

Gomez, Michael Alexander is an sole proprietor health care provider with primary practice located at 1770 W 32Nd Pl , Hialeah FL 33012-4512. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gomez, Michael Alexander can be contacted via phone (305) 885-4477.

Contact Information

Primary practice address
1770 W 32Nd Pl Hialeah FL 33012-4512
Phone: (305) 885-4477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 3891 Florida

Profile Details

NPI number 1477606366
LBN Legal business name Gomez, Michael Alexander
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Mar 20th, 2020 - about 6 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 1477606366 NPPES
Florida MEDICAID 101685200

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