Individual
JOSE HERRERA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12001 NW 23RD ST, PEMBROKE PINES, FL 33026-1416
(786) 236-5817
Mailing address
12001 NW 23RD ST, PEMBROKE PINES, FL 33026-1416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2789-P-A
PR
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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