Individual
MR. CARLOS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14465 SW 96TH TER, MIAMI, FL 33186-6924
(305) 498-5785
Mailing address
14465 SW 96TH TER, MIAMI, FL 33186-6924
(305) 498-5785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-04-1249
FL
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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