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NPI Code Detail

MEDICARE: ANTHONY DANIEL GOMES RRT

MEDICARE:   ANTHONY DANIEL GOMES  RRT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225B00000XPulmonary Function TechnologistRT13521FL
2227900000XRegistered Respiratory TherapistRT13521FL

General Provider Information

NPI Number : 1316439441
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY DANIEL GOMES RRT
Provider Business Mailing Address
First Line : 63 HEATHER COVE DR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-8944
Country : US
Telephone Number : 561-267-5120
Fax Number :
Provider Business Practice Location Address
First Line : 63 HEATHER COVE DR
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-8944
Country : US
Telephone Number : 561-267-5120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 06/04/2018

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Directions to “ ANTHONY DANIEL GOMES RRT” Practice Location

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