Provider Demographics
NPI:1851959480
Name:GOMEZ, RAMON (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2328 S. CONGRESS AVE, SUITE 1 E
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406
Mailing Address - Country:US
Mailing Address - Phone:561-324-7224
Mailing Address - Fax:561-246-4859
Practice Address - Street 1:2328 S. CONGRESS AVE, SUITE 1 E
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406
Practice Address - Country:US
Practice Address - Phone:561-324-7224
Practice Address - Fax:561-246-4859
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9351128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily