Healthcare Provider Details

I. General information

NPI: 1699166314
Provider Name (Legal Business Name): HELEN BEATRIZ GOMEZ SLAGLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HELEN GOMEZ MD

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 SW 152ND ST
PALMETTO BAY FL
33157-1778
US

IV. Provider business mailing address

1120 NW 14TH ST # 1156
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-251-2500
  • Fax:
Mailing address:
  • Phone: 305-689-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME181036
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number315685
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberC1-0029423
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: