Individual
DIEGO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11757 BEACH BLVD STE 7, JACKSONVILLE, FL 32246-6633
(904) 531-4556
(904) 376-7718
Mailing address
7836 TIMBERLIN PARK BLVD, JACKSONVILLE, FL 32256-5413
(941) 204-1610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49289
FL
Other
Enumeration date
10/28/2020
Last updated
11/11/2020
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