Gomez, Mayelin
Gomez, Mayelin is an sole proprietor health care provider with primary practice located at 16410 Healthpark Commons Dr , Fort Myers FL 33908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gomez, Mayelin can be contacted via phone (239) 343-6202.Contact Information
Primary practice address
16410 Healthpark Commons Dr
Fort Myers FL 33908
Phone: (239) 343-6202
Fax: (239) 437-8537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP3049922 | Florida |
Profile Details
| NPI number | 1770618860 |
|---|---|
| LBN Legal business name | Gomez, Mayelin |
| Credentials | ARNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Sep 3rd, 2020 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770618860 | NPPES |
| Florida | MEDICAID | 103204700 |
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