Individual
MR. JUAN CARLOS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 W 75TH ST, HIALEAH, FL 33014-3813
(786) 637-4111
(954) 824-2440
Mailing address
1455 W 75TH ST, HIALEAH, FL 33014-3813
(786) 258-1291
(954) 824-2440
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
12044
FL
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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