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Contact Information

JERRY GOMEZ
7873 VENTURE CENTER WAY
APT #7104
BOYNTON BEACH, FL33437
 Phone: 561-718-8278
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JERRY GOMEZ · (Male)

NPI Number 1316394869
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2016
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # APRN9474204
  • PR License # 105546
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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