Individual
CAROLINA VEGA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
120 BEACOM BLVD, MIAMI, FL 33135-1534
(786) 334-6041
Mailing address
9003 SW 214TH LN, CUTLER BAY, FL 33189-3785
(305) 399-3733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11004153
FL
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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