Individual
MR. LUIS MANUEL GOMEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8410 W FLAGLER ST STE 210, MIAMI, FL 33144-2000
(305) 701-1085
(305) 701-1086
Mailing address
8410 W FLAGLER ST STE 210, MIAMI, FL 33144-2000
(786) 578-3797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11005915
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11005915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107294700
—
FL
Enumeration date
01/28/2020
Last updated
12/11/2024
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