Gomez, Carlos Manuel

Gomez, Carlos Manuel is an sole proprietor health care provider with primary practice located at 2010 Nw 150Th Ave Ste 120 , Pembroke Pines FL 33028-2888. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Gomez, Carlos Manuel can be contacted via phone (954) 719-6280.

Contact Information

Primary practice address
2010 Nw 150Th Ave Ste 120 Pembroke Pines FL 33028-2888
Phone: (954) 719-6280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APRN11007700 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11007700 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11007700 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11007700 Florida

Profile Details

NPI number 1407466774
LBN Legal business name Gomez, Carlos Manuel
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2020
Last updated Dec 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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