Individual
CAMILO GOMEZ LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
14334 SW 177TH ST, MIAMI, FL 33177-2620
(786) 333-6504
Mailing address
14334 SW 177TH ST, MIAMI, FL 33177-2620
(786) 333-6504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11030249
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11030249
FL
Other
Enumeration date
03/15/2021
Last updated
12/04/2025
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