Individual
NICOLE I GOMEZ DORATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 N ORANGE BLOSSOM TRL STE 302, KISSIMMEE, FL 34744-2308
(407) 932-6193
(407) 932-6194
Mailing address
2400 N ORANGE BLOSSOM TRL STE 302, KISSIMMEE, FL 34744-2308
(407) 932-6193
(407) 932-6194
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME135373
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/16/2014
Last updated
09/12/2018
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