Individual
RONALD GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 SEAWANE CIR, AUBURNDALE, FL 33823-5803
(216) 965-1274
Mailing address
430 SEAWANE CIR, AUBURNDALE, FL 33823-5803
(216) 965-1274
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175193
—
OH
Enumeration date
10/26/2016
Last updated
10/26/2016
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