| Luis F Gomez Dds Pa | |
|
4651 N State Road 7 Ste 4 Coconut Creek FL 33073-4378 | |
| (954) 510-4300 | |
| Not Available |
| Full Name | Luis F Gomez Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 4651 N State Road 7 Ste 4, Coconut Creek, Florida |
| Authorized Official Name and Position | Olga Gomez (OFFICE MANAGER) |
| Authorized Official Contact | 9546491054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis F Gomez Dds Pa 4651 N State Road 7 Ste 4 Coconut Creek FL 33073-4378 Ph: (954) 510-4300 | Luis F Gomez Dds Pa 4651 N State Road 7 Ste 4 Coconut Creek FL 33073-4378 Ph: (954) 510-4300 |
| NPI Number | 1184202814 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184202814 | NPI | - | NPPES |
| 1689899452 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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