Individual
MRS. JACQUELINE A GOMOGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHNP,ARNP
Contact information
Practice address
12271 US HIGHWAY 301 N, PARRISH, FL 34219-8410
(941) 776-4050
(941) 776-4057
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2698092
FL
Other
Enumeration date
03/08/2006
Last updated
03/24/2017
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