Alexei Gomez
Clinic/Center, Mental Health (Including Community Mental Health Center) in Miami, FL. Individual provider (NPI-1).
NPI number1336711522
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1336711522
- Entity type
- Individual (NPI-1)
- Name
- Alexei Gomez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2021
- Certification date
- Jul 15, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | LC12289 | FL | Yes |
Practice location
13595 Sw 134th Ave Ste 104Miami, FL 33186-4579
Phone 786-864-1030
Mailing address
13595 Sw 134th Ave Ste 104Miami, FL 33186-4579
Phone 786-864-1030
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