Individual
CARLOS MANUEL GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2010 NW 150TH AVE STE 120, PEMBROKE PINES, FL 33028-2888
(954) 719-6280
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN11007700
FL
363LF0000X
Family Nurse Practitioner
11007700
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11007700
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11007700
FL
Other
Enumeration date
08/03/2020
Last updated
12/13/2023
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