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Individual

MRS. CARMEN L GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
703 CHAFFEE RD S, JACKSONVILLE, FL 32221-1105
(904) 693-6406
(904) 693-4548
Mailing address
12028 CHESTER CREEK RD, JACKSONVILLE, FL 32218-3323
(904) 619-4110

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
4269
PR
183500000X
Pharmacist
Primary
PS45939
FL

Other

Enumeration date
02/26/2010
Last updated
02/26/2010
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