Healthcare Provider Details

I. General information

NPI: 1861296394
Provider Name (Legal Business Name): JOMARIES OHAMY GOMEZ ROSADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 03/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLEVELAND CLINIC WESTON HOSPITAL 2590 CLEVELAND CLINIC BLVD
WESTON FL
33331
US

IV. Provider business mailing address

CLEVELAND CLINIC WESTON HOSPITAL 2590 CLEVELAND CLINIC BLVD
WESTON FL
33331
US

V. Phone/Fax

Practice location:
  • Phone: 954-659-5000
  • Fax:
Mailing address:
  • Phone: 954-659-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: