Individual
MR. JOHNNY EDWARD GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2250 NW 136TH AVE STE 100, PEMBROKE PINES, FL 33028-2628
(954) 302-7960
(954) 628-5084
Mailing address
2250 NW 136TH AVE STE 100, PEMBROKE PINES, FL 33028-2628
(954) 302-7960
(954) 628-5084
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105188
FL
Other
Enumeration date
12/27/2009
Last updated
11/17/2023
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