Individual
MS. JESSICA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14701 NW 77TH AVE, HIALEAH, FL 33014-2500
(305) 669-2833
Mailing address
6820 PORTILLO ST, CORAL GABLES, FL 33146-3832
(305) 431-7906
(305) 666-7983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9106649
FL
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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