MEDICARE: CINDY KAY MITCH 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	207Q00000X	Family Medicine Physician	ME64144	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	:	1659360287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY KAY MITCH GOMEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 198054
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-8054
Country	:	US
Telephone Number	:	786-662-7980
Fax Number	:

Provider Business Practice Location Address
First Line	:	13101 S DIXIE HWY STE 400
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-6530
Country	:	US
Telephone Number	:	786-467-5700
Fax Number	:	786-533-9445

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	02/28/2025

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