Individual
JACQUELINE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7055 SW 165TH AVE, MIAMI, FL 33193-3762
(305) 905-6390
Mailing address
7055 SW 165TH AVE, MIAMI, FL 33193-3762
(305) 905-6390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9365046
FL
Other
Enumeration date
11/18/2018
Last updated
11/18/2018
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