Individual
JERRY GOMEZ ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9655 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33472-4421
(561) 737-7733
Mailing address
W27 CALLE SAN JOAQUIN, URB.MARIOLGA, CAGUAS, PR 00725-6452
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
105546
PR
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9474204
FL
Other
Enumeration date
05/14/2016
Last updated
11/17/2020
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