Individual
MRS. GOMATHY MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11903 SOUTHERN BLVD, STE 118, ROYAL PALM BEACH, FL 33411-7644
(561) 429-5898
(561) 429-5897
Mailing address
11903 SOUTHERN BLVD, STE 118, ROYAL PALM BEACH, FL 33411-7644
(561) 429-5898
(561) 429-5897
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273853800
—
FL
Enumeration date
05/05/2006
Last updated
09/21/2011
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