Gomez, Genesis Edlin

Gomez, Genesis Edlin is an individual health care provider with primary practice located at 1858 Mayo Dr , Tavares FL 32778-4320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gomez, Genesis Edlin can be contacted via phone (352) 383-5200.

Contact Information

Primary practice address
1858 Mayo Dr Tavares FL 32778-4320
Phone: (352) 383-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11003026 Florida

Profile Details

NPI number 1104488907
LBN Legal business name Gomez, Genesis Edlin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2019
Last updated Jun 1st, 2026 - about 4 months 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.

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