Individual
ALFREDO F. GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1725 N UNIVERSITY DR, 2ND FLOOR, CORAL SPRINGS, FL 33071-6089
(954) 227-7760
(954) 227-9975
Mailing address
1986 NE 35TH CT, OAKLAND PARK, FL 33308-6255
(954) 253-0932
(954) 253-0932
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 2515132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302363000
—
FL
01
—
430050723
RAILROAD MEDICARE
FL
01
—
G2239
BCBS OF FLORIDA
FL
Enumeration date
01/18/2006
Last updated
04/19/2017
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