MENCIA M GOMEZ MD PA (NPI# 1134669963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134669963 |
| Entity Type | Organization |
| Organization Name | MENCIA M GOMEZ MD PA |
| Practice Address |
3700 Washington St Suite 304 Hollywood FL 33021-8256 |
| Practice Telephone | 9549611500 |
| Practice Fax Number | 9549617942 |
| Mailing Telephone | 9549611500 |
| Mailing Fax Number | 9549617942 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | DR. MENCIA M GOMEZ (PRESIDENT) |
| Authorized Official Telephone | 9549611500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME121955 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3700 WASHINGTON ST SUITE 304 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-8256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508853433 | Fran V Fournier | Nurse Practitioner | 3700 Washington St, Suite 500, Hollywood, FL 33021-8259 | 2005-10-05 |
| 1164976577 | Nano Health Associates | Nurse Practitioner | 3700 Washington St, Hollywood, FL 33021-8256 | 2016-08-15 |
| 1841744257 | Aniela Maggio | Nurse Practitioner | 3700 Washington St, Suite 400, Hollywood, FL 33021-8256 | 2016-08-15 |
| 1205280260 | Healthstone Primary Care Partners LLC | Internal Medicine | 3700 Washington St, Suite 305, Hollywood, FL 33021-8256 | 2016-04-15 |
| 1427420447 | Jessica Cravens | Physician Assistant | 3700 Washington St, #500, Hollywood, FL 33021-8256 | 2015-10-29 |
| 1336518208 | Farrah St. Louis | Nurse Practitioner | 3700 Washington St, Suite 305, Hollywood, FL 33021-8256 | 2015-09-21 |
| 1104204700 | Jensy Kurien | Nurse Practitioner | 3700 Washington St, Suite 305, Hollywood, FL 33021-8256 | 2015-05-14 |
| 1700272168 | Spiller Heart Institute LLC | Internal Medicine | 3700 Washington St, Suite 500b, Hollywood, FL 33021-8256 | 2015-04-13 |
| 1679965586 | Carolina Marana De Varona | Nurse Practitioner | 3700 Washington St, Suite 305, Hollywood, FL 33021-8256 | 2015-03-02 |
| 1588071922 | Erika Betancurt | Nurse Practitioner | 3700 Washington St, 305, Hollywood, FL 33021-8256 | 2014-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730575549 | Integrated Mind Medicine | Psychiatry & Neurology | 1946 Tyler St, Suite 14, Hollywood, FL 33020-4517 | 2015-04-08 |
| 1902198864 | Alfredo Bolasini | Psychiatry & Neurology | 4040 N Hills Dr, Suite 32, Hollywood, FL 33021-2464 | 2011-05-11 |
| 1629211560 | Yves S Eveillard | Psychiatry & Neurology | 3420 Nw 91st Ave, Hollywood, FL 33024-8178 | 2009-04-08 |
| 1124201421 | Ramsey Kay Pevsner Pa | Psychiatry & Neurology | 301 Desoto St, Hollywood, FL 33019-4519 | 2007-12-10 |
| 1326163775 | Barnell Phillips IIi | Psychiatry & Neurology | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2007-03-21 |
| 1558493445 | Richard Wender Levin | Psychiatry & Neurology | 3810 Hollywood Blvd, #2, Hollywood, FL 33021 | 2007-03-09 |
| 1932298767 | Gary S Magid | Psychiatry & Neurology | 4740 N 37th St, Hollywood, FL 33021-2237 | 2006-10-12 |
| 1144243221 | Thomas Henry Macaluso | Psychiatry & Neurology | 4600 Sheridan St, Suite 400, Hollywood, FL 33021-3409 | 2006-07-26 |
| 1356387617 | Arnold Stanley Zager | Psychiatry & Neurology | 3810 Hollywood Boulevard, Suite 2, Hollywood, FL 33021-6730 | 2006-06-22 |
| 1679511505 | Jorge Luis Sotelo | Psychiatry & Neurology | 3501 Johnson St Fl 2, Hollywood, FL 33021-5421 | 2006-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.