Provider Demographics
NPI:1487307617
Name:RAMON EMILIO GOMEZ MD
Entity type:Organization
Organization Name:RAMON EMILIO GOMEZ MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:EMILIO
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:954-601-4678
Mailing Address - Street 1:6151 MIRAMAR PKWY STE 316
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3996
Mailing Address - Country:US
Mailing Address - Phone:954-603-5100
Mailing Address - Fax:954-526-8216
Practice Address - Street 1:6151 MIRAMAR PKWY STE 316
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3996
Practice Address - Country:US
Practice Address - Phone:954-603-5100
Practice Address - Fax:954-526-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-28
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty