Individual
MS. TASHIKA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 924-7000
Mailing address
428 S ALVORD ST, SYRACUSE, NY 13208-2720
(315) 435-4210
(315) 435-4993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11017209
FL
363LP0200X
Pediatric Nurse Practitioner
382654
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11017209
FL
Other
Enumeration date
07/10/2008
Last updated
11/27/2023
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