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General NPI Number Information
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NPI Number | 1699792333
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Entity Type | Individual
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Provider Name | ALEXANDER H GOMEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 15507 NW 67TH AVE
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2108
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Country | US
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Telephone | 305-821-8611
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Fax | 305-827-1753
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Provider Business Mailing Address
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Address Line | 900 S PINE ISLAND RD STE 800
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City | PLANTATION
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State | FL
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Zip | 33324-3923
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Country | US
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Telephone | 305-532-3378
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Fax | 305-532-1164
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME96141
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License Number State | FL
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