Healthcare Provider Details

I. General information

NPI: 1386830479
Provider Name (Legal Business Name): ARTURO GAMEZ M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 SE LENNARD RD
PORT SAINT LUCIE FL
34952-4742
US

IV. Provider business mailing address

2115 SE LENNARD RD
PORT SAINT LUCIE FL
34952-4742
US

V. Phone/Fax

Practice location:
  • Phone: 772-335-1812
  • Fax: 772-335-1825
Mailing address:
  • Phone: 772-335-1812
  • Fax: 772-335-1825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 104786
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: