Organization
KUMU HEALTH INC.
Active
Organization
KUMU HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO FERNANDO GOMEZ PHARMD (PRESIDENT)
(904) 531-4556
Entity
Organization
Contact information
Practice address
11757 BEACH BLVD STE 7, JACKSONVILLE, FL 32246-6633
(904) 531-4556
(904) 376-7718
Mailing address
11757 BEACH BLVD STE 7, JACKSONVILLE, FL 32246-6633
(904) 531-4556
(904) 376-7718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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