Individual
KEVIN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12595 SW 137TH AVE STE 104, MIAMI, FL 33186-4218
(786) 429-3375
Mailing address
12595 SE 137 AVE, SUITE 104, MIAMI, FL 33186
(786) 429-3375
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29927
FL
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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