| Doctor Name: | DR. MICHAEL J GOMEZ |
| NPI Number: | 1194843722 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, PA |
| License Number: | ME94251 |
| Business Practice Address: | 8925 Sw 148th St Ste 110 Village Of Palmetto Bay, FL - 331768000 |
| Business Phone Number: | 7865734470 |
| Business Fax Number: | 3059691699 |
| Mailing Address: | 5815 Sw 45 Terrace, MIAMI |
| State: | FL |
| Postal Code: | 33155 |
| Phone Number: | 3057427767 |
| Fax Number: | 3059691699 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 03/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261Q00000X |
| License Number: | ME94251 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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). |