Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME123960 | FL |
Y | 208600000X | Surgeon | ME123960 | FL |
N | 2086S0102X | Surgical Critical Care | ME123960 | FL |
N | 2086S0127X | Trauma Surgeon | ME123960 | FL |
N | 2086S0129X | Vascular Surgeon | ME123960 | FL |
NPI | 1275864639 |
---|---|
Provider Name | Dr. Wadi Gomero-Cure |
First Address | Venice, FL 34285-2617 |
Second Address | Venice, FL 34285-2617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2010 |
Last Update Date | 03/11/2021 |