Healthcare Provider Details

I. General information

NPI: 1447127642
Provider Name (Legal Business Name): LISBET RAMOS GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 NW 7TH ST
MIAMI FL
33125-3134
US

IV. Provider business mailing address

4090 PARK LN
WEST PALM BEACH FL
33406-8536
US

V. Phone/Fax

Practice location:
  • Phone: 305-414-5758
  • Fax: 305-402-6101
Mailing address:
  • Phone: 786-646-7443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11040682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: