Individual
FABIOLA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7634 PINE NEST CT, ORLANDO, FL 32822-7222
(497) 382-7394
(407) 382-7394
Mailing address
7634 PINE NEST CT, ORLANDO, FL 32822-7222
(497) 382-7394
(407) 382-7394
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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