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General NPI Number Information
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NPI Number | 1881561538
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Entity Type | Individual
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Provider Name | BRIANNA ROXANNE GOMEZ
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Gender | Female
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 1601 NE 191ST ST APT 209B
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City | MIAMI
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State | FL
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Zip | 33179-4194
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Country | US
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Telephone | 305-639-0892
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 N FLAMINGO RD STE 110
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1027
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Country | US
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Telephone | 786-673-9355
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RBT-24-371742
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License Number State | FL
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