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Individual

JULIANA BERTHA D GOMEZ ABANTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11215 METRO PKWY STE 100, FORT MYERS, FL 33966-1206
(239) 208-2212
(239) 208-3994
Mailing address
3102 4TH ST APT W122, LUBBOCK, TX 79415-3234
(806) 507-0366

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
BP10056108
TX
2084N0400X
Neurology Physician
Primary
ME170254
FL

Other

Enumeration date
07/26/2016
Last updated
12/12/2024
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