| Organization Name: | EDDUNIO GOMEZ M.D. P.A. |
| NPI Number: | 1043531304 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDDUNIO GOMEZ (PRESIDENT/SOLE OWNER) |
| Mailing Address: | 17 Ne 9th Ct Homestead |
| State: | FL US |
| Postal Code: | 330304611 |
| Phone Number: | 3052455050 |
| Fax Number: | |
| NPI Enumeration Date: | 06/21/2010 |
| NPI Last Update Date: | 10/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME34559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |