Individual
JESSICA LOPEZ GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7600 SW 87TH AVE, MIAMI, FL 33173-3601
(786) 235-3750
Mailing address
9500 S DADELAND BLVD, SUITE 802, MIAMI, FL 33156-2824
(305) 468-4180
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3419462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306202300
—
FL
01
—
G3485
BCBS
FL
Enumeration date
12/09/2005
Last updated
07/15/2014
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