Individual
MR. JORGE LUIS GOMEZ-MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1001 W COMMERCIAL BLVD, FT LAUDERDALE, FL 33309-3107
(954) 938-0919
Mailing address
1001 W COMMERCIAL BLVD, FT LAUDERDALE, FL 33309-3107
(954) 938-0919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2202
FL
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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