Organization
PRIME OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEYLA GOMEZ (OWNER)
(786) 512-7970
Entity
Organization
Contact information
Practice address
999 W 80TH PL, HIALEAH, FL 33014-3577
(786) 512-7970
Mailing address
999 W 80TH PL, HIALEAH, FL 33014-3577
(786) 512-7970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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