Gomez, Madeline

Gomez, Madeline is an sole proprietor health care provider with primary practice located at 2706 Eagle Lake Dr , Clermont FL 34711-6269. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Gomez, Madeline can be contacted via phone (407) 516-2025.

Contact Information

Primary practice address
2706 Eagle Lake Dr Clermont FL 34711-6269
Phone: (407) 516-2025
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1609141399
LBN Legal business name Gomez, Madeline
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2012
Last updated Mar 14th, 2012 - about 14 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.

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