Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0S8872 | FL |
NPI | 1003802877 |
---|---|
Provider Name | Dr. Joseph Gomes |
First Address | Cooper City, FL 33328-5607 |
Second Address | Miami, FL 33150-2038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H34828 | (02) |