MEDICARE: DR. EDUARDO G. GOMEZ MD

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
1	207RH0003X	Hematology & Oncology Physician	ME0035412	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578538542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO G. GOMEZ MD

Provider Business Mailing Address
First Line	:	1840 W 49TH ST
Second Line	:	SUITE 607
City	:	HIALEAH
State	:	FL
Zip	:	33012-2942
Country	:	US
Telephone Number	:	305-556-7416
Fax Number	:	305-824-0879

Provider Business Practice Location Address
First Line	:	1840 W 49TH ST
Second Line	:	SUITE 607
City	:	HIALEAH
State	:	FL
Zip	:	33012-2942
Country	:	US
Telephone Number	:	305-556-7416
Fax Number	:	305-824-0879

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	04/23/2013

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