Individual
LUIS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1522 SPRINGLEAF DR, ORMOND BEACH, FL 32174-7314
(305) 240-5901
Mailing address
1522 SPRINGLEAF DR, ORMOND BEACH, FL 32174-7314
(305) 240-5901
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9203642
FL
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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