Provider Demographics
NPI:1073259545
Name:GOMEZ SERVICES SOLUTIONS CORP
Entity Type:Organization
Organization Name:GOMEZ SERVICES SOLUTIONS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRETEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-755-7707
Mailing Address - Street 1:2500 NW 79TH AVE STE 283
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1090
Mailing Address - Country:US
Mailing Address - Phone:786-755-7707
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE STE 283
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1090
Practice Address - Country:US
Practice Address - Phone:786-755-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies