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General NPI Number Information
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NPI Number | 1760287130
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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 | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 21673 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33428-1812
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Country | US
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Telephone | 561-470-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 21673 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33428-1812
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Country | US
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Telephone | 561-470-2310
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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 | MICHAEL ALEXANDER GOMEZ
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Credential |
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Telephone | 305-885-4477
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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 |
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License Number State |
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