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Individual

MS. AMY JO GOMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.P.T.

Contact information

Practice address
2400 S HIGHWAY 27 STE B201, CLERMONT, FL 34711-6816
(352) 394-0212
(352) 241-6361
Mailing address
12118 CYPRESS LN, CLERMONT, FL 34711-8591
(352) 406-0922

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2879
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
880121500
FL
Enumeration date
10/06/2006
Last updated
07/29/2024
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