Provider Demographics
NPI:1831106277
Name:GOMEZ, AMAURY (DO)
Entity Type:Individual
Prefix:DR
First Name:AMAURY
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4039
Mailing Address - Country:US
Mailing Address - Phone:954-755-5504
Mailing Address - Fax:954-755-7052
Practice Address - Street 1:9800 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4039
Practice Address - Country:US
Practice Address - Phone:954-755-5504
Practice Address - Fax:954-755-7052
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9311207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine