DIEGO FERNANDO GOMEZ

FORT MYERS, FL
NPI1275914111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH14194)
Enumeration Date2015-06-16
Last Update Date2020-09-03
Business Address
DIEGO FERNANDO GOMEZ LCAS-A
15901 BASS RD STE 108
FORT MYERS, FL 33908
Phone number: 239-343-6050
Mailing Address
DIEGO FERNANDO GOMEZ LCAS-A
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-6050
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