NPI 1003169400

Julio a Gomez de Mello

Practitioner Specialist Hialeah, FL

Practice location

Address: 928 W 67th St, Hialeah, FL 33012-6467
Phone: (305) 965-6098

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA-64739 (FL)

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Registry record

NPI: 1003169400
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2012
Record last updated: 23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.