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General NPI Number Information
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NPI Number | 1376210393
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Entity Type | Individual
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Provider Name | CARINA S GOMEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 2915 27TH ST SW
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City | LEHIGH ACRES
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State | FL
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Zip | 33976-4015
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Country | US
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Telephone | 239-823-3179
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 27TH ST SW
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City | LEHIGH ACRES
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State | FL
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Zip | 33976-4015
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Country | US
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Telephone | 352-593-3976
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Fax | 239-268-9688
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0104871-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11014016
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License Number State | FL
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