Healthcare Provider Details

I. General information

NPI: 1417262437
Provider Name (Legal Business Name): CHRISTINA M GOMEZ PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14400 COMMERCE WAY
MIAMI LAKES FL
33016-1508
US

IV. Provider business mailing address

14400 COMMERCE WAY
MIAMI LAKES FL
33016-1508
US

V. Phone/Fax

Practice location:
  • Phone: 786-595-8552
  • Fax:
Mailing address:
  • Phone: 786-595-8552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPU10286
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS46714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: