Individual
MARA BOSCH GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
13661 NW 10TH LN, MIAMI, FL 33182-2633
(786) 657-6728
Mailing address
13661 NW 10TH LN, MIAMI, FL 33182-2633
(786) 657-6728
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-364
FL
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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