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General NPI Number Information
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NPI Number | 1942183595
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Entity Type | Individual
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Provider Name | ARNOLD GOMEZ COUTO PA
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Gender | Male
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 10346 NW 29TH CT
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City | MIAMI
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State | FL
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Zip | 33147-1152
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Country | US
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Telephone | 786-734-0757
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 786-734-0757
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2635PA
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TPPA1014
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License Number State | FL
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