Individual
RICARDO A GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
4200 SW 54TH CT, FORT LAUDERDALE, FL 33314-6726
(754) 312-5500
Mailing address
1805 W 56TH ST APT 303, HIALEAH, FL 33012-7308
(305) 557-9038
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9356566
FL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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