Individual
VISMAY GOMEZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
948 W 28TH ST, HIALEAH, FL 33010-1235
(786) 355-7589
Mailing address
948 W 28TH ST, HIALEAH, FL 33010-1235
(786) 355-7589
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0104057
FL
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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