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NPI Code Detail

MEDICARE: MS. ELIZABETH GOMEZ GED

MEDICARE:  MS. ELIZABETH  GOMEZ  GED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-23-282419FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740060235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH GOMEZ GED
Provider Business Mailing Address
First Line : 3021 NW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-5003
Country : US
Telephone Number : 305-397-4245
Fax Number :
Provider Business Practice Location Address
First Line : 3021 NW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-5003
Country : US
Telephone Number : 305-397-4245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/02/2023

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Directions to “ MS. ELIZABETH GOMEZ GED” Practice Location

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