| Mencia M Gomez Md Pa | |
|
1946 Tyler St Hollywood FL 33020-4517 | |
| (754) 333-9815 | |
| (571) 386-2627 |
| Full Name | Mencia M Gomez Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1946 Tyler St, Hollywood, Florida |
| Authorized Official Name and Position | Mencia M Gomez (PRESIDENT) |
| Authorized Official Contact | 7543339815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mencia M Gomez Md Pa 1946 Tyler St Hollywood FL 33020-4517 Ph: (754) 333-9815 | Mencia M Gomez Md Pa 1946 Tyler St Hollywood FL 33020-4517 Ph: (754) 333-9815 |
| NPI Number | 1134669963 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 8628440674 |
|---|---|
| Medicare Enrollment ID | O20230221000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134669963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME121955 (Florida) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Mencia Gomez Devargas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285891754 PECOS PAC ID: 2365686946 Enrollment ID: I20151130001949 |
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