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General NPI Number Information
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NPI Number | 1215218680
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Entity Type | Organization
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Legal Business Name | NARCISO L GOMEZ MD
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 12781 MIRAMAR PKWY SUITE 206
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City | MIRAMAR
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State | FL
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Zip | 33027-2908
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Country | US
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Telephone | 954-369-5717
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Fax | 954-827-0717
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Provider Business Mailing Address
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Address Line | 325 S BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33131-2306
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Country | US
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Telephone | 954-369-5717
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Fax | 954-827-0717
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | NARCISO L. GOMEZ
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Credential | M.D.
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Telephone | 954-369-5717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME98664
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | ME98664
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License Number State | FL
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