Individual
NIKMARA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 BOCA PALMS CIR, KISSIMMEE, FL 34741-4307
(321) 318-9547
Mailing address
1621 E VINE ST, KISSIMMEE, FL 34744-3730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
11/13/2023
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