| Gomez Clinic Corp | |
|
6583 Sw 39th Ter Ste B Miami FL 33155-4821 | |
| (786) 747-4949 | |
| (786) 756-1010 |
| Full Name | Gomez Clinic Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6583 Sw 39th Ter Ste B, Miami, Florida |
| Authorized Official Name and Position | Eric Campillo (DIRECTOR) |
| Authorized Official Contact | 3053005551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gomez Clinic Corp 6583 Sw 39th Ter Ste B Miami FL 33155-4821 Ph: (305) 300-5551 | Gomez Clinic Corp 6583 Sw 39th Ter Ste B Miami FL 33155-4821 Ph: (786) 747-4949 |
| NPI Number | 1477264695 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477264695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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