Individual
DONNA JENNIFER VELOSO-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
9165 SW 87TH AVE, MIAMI, FL 33176-2302
(305) 233-0011
(305) 233-0033
Mailing address
9165 SW 87TH AVE, MIAMI, FL 33176-2302
(305) 233-0011
(305) 233-0033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
592417574001
CHAMPUS/TRICARE
—
Enumeration date
06/22/2005
Last updated
10/05/2015
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