Individual
JUDITH ANTOINETTE CLAYTON GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5201 SW 196TH LN, SOUTHWEST RANCHES, FL 33332-1111
(954) 648-0398
(305) 964-0370
Mailing address
5201 SW 196TH LN, SOUTHWEST RANCHES, FL 33332-1111
(954) 648-0398
(305) 964-0370
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1089452
FL
364SA2200X
Adult Health Clinical Nurse Specialist
ARNP1089452
FL
Other
Enumeration date
07/16/2014
Last updated
10/29/2014
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