Individual
JUANA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1317 W. COLOMBUS DR., SUITE 208, TAMPA, FL 33607-1866
(813) 964-6829
(813) 964-6830
Mailing address
6106 DORY WAY, TAMPA, FL 33615-3633
(813) 966-1832
(813) 932-6701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 54966
FL
Other
Enumeration date
03/02/2009
Last updated
10/13/2009
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