| Leslie A Gomez Do Pa | |
|
250 2nd St E Ste 3b Bradenton FL 34208-1029 | |
| (941) 746-4151 | |
| (941) 746-4345 |
| Full Name | Leslie A Gomez Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 2nd St E, Bradenton, Florida |
| Authorized Official Name and Position | Leslie A Gomez (PRESIDENT) |
| Authorized Official Contact | 9417464151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A Gomez Do Pa 250 2nd St E Ste 3b Bradenton FL 34208-1029 Ph: (941) 746-4151 | Leslie A Gomez Do Pa 250 2nd St E Ste 3b Bradenton FL 34208-1029 Ph: (941) 746-4151 |
| NPI Number | 1518340942 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 6507176088 |
|---|---|
| Medicare Enrollment ID | O20151112002926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518340942 | NPI | - | NPPES |
| 015528000 | Medicaid | FL | |
| DW3648 | Other | FL | MEDICARE RAILROAD |
| 00A7G | Other | FL | FL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leslie Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255699534 PECOS PAC ID: 6204146798 Enrollment ID: I20151112003086 |
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