Individual
DR. WANDA Y GOMEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
910 W VINE ST, KISSIMMEE, FL 34741-4165
(407) 517-9582
(407) 978-6644
Mailing address
121 S ORANGE AVE STE 940, ORLANDO, FL 32801-3234
(407) 658-9687
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1011
FL
Other
Enumeration date
09/07/2006
Last updated
03/07/2023
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