Individual
MRS. ISMAEL I GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13422 SW 128TH ST, MIAMI, FL 33186-5800
(305) 572-5381
Mailing address
26775 SW 140TH AVE UNIT 301, NARANJA, FL 33032-8434
(305) 572-5381
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/09/2025
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