Individual
ALIENA GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8260 GLADIOLUS DR, FORT MYERS, FL 33908-4156
(239) 437-5755
(239) 437-5776
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110712100
—
FL
Enumeration date
08/14/2019
Last updated
11/10/2021
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