Individual
MAYTE GENTIL GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3536 SW 22 TERRACE, MIAMI, FL 33145
(786) 362-0102
Mailing address
3536 SW 22 TERRACE, MIAMI, FL 33145
(786) 362-0102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9377438
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9377438
FL
Other
Enumeration date
04/27/2018
Last updated
10/07/2024
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