Individual
JORGE LUIS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 N KROME AVE, SUITE #110, FLORIDA CITY, FL 33034-2406
(305) 247-4464
(305) 247-4546
Mailing address
4540 SW 152ND AVE, MIRAMAR, FL 33027-3360
(305) 450-5712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16763
FL
Other
Enumeration date
03/11/2015
Last updated
01/23/2023
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