| Mencia M Gomez Md Pa | |
|
1946 Tyler St Hollywood FL 33020-4517 | |
| (954) 391-9240 | |
| (571) 386-2627 |
| Full Name | Mencia M Gomez Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1946 Tyler St, Hollywood, Florida |
| Authorized Official Name and Position | Mencia M Gomez (PRESIDENT) |
| Authorized Official Contact | 9543919240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mencia M Gomez Md Pa 1946 Tyler St Hollywood FL 33020-4517 Ph: (954) 391-9240 | Mencia M Gomez Md Pa 1946 Tyler St Hollywood FL 33020-4517 Ph: (954) 391-9240 |
| NPI Number | 1134669963 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 8628440674 |
|---|---|
| Medicare Enrollment ID | O20230221000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134669963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME121955 (Florida) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Mencia Gomez Devargas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285891754 PECOS PAC ID: 2365686946 Enrollment ID: I20151130001949 |
South Broward Hospital District Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave Ste 525, Hollywood, FL 33021 Phone: 954-265-6966 Fax: 954-265-6950 | |
Reclamation Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6966 Taft St, Hollywood, FL 33024 Phone: 954-432-8831 Fax: 954-432-8832 | |
Our Children Our Future, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 N Park Rd, Suite 600, Hollywood, FL 33021 Phone: 954-929-7515 Fax: 954-929-7510 | |
Serenity Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2303 Hollywood Blvd, Suite 12, Hollywood, FL 33020 Phone: 954-367-7944 Fax: 954-374-8311 | |
My Choice Individual And Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Dorchester Ln, Hollywood, FL 33026 Phone: 954-864-4552 | |
Live Free Wellness Institute Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7709 Davie Road Ext, Hollywood, FL 33024 Phone: 305-336-1739 | |
Goddess Health & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5420 Hollywood Blvd Apt 111, Hollywood, FL 33021 Phone: 754-300-7591 Fax: 954-206-0496 |