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General NPI Number Information
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NPI Number | 1639676281
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Entity Type | Organization
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Legal Business Name | DRS. CUKIERMAN & GOMEZ, INC
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 246 S FLAMINGO RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1721
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Country | US
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Telephone | 954-443-1230
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Fax | 954-443-1234
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Provider Business Mailing Address
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Address Line | 246 S FLAMINGO RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1721
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Country | US
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Telephone | 954-443-1230
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MICHAEL ALEXANDER GOMEZ
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Credential | OD
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Telephone | 954-471-6453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3891
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License Number State | FL
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