MARIAISYS GOMEZ (NPI# 1962044016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962044016 |
| Entity Type | Individual |
| Full Name | MARIAISYS GOMEZ |
| Credential | APRN |
| Practice Address |
4972 Town Center Pkwy Unit 301 Jacksonville FL 32246-8596 |
| Mailing Address |
900 S Pine Island Rd Ste 800 Plantation FL 33324-3923 |
| Practice Telephone | 9046426100 |
| Practice Fax Number | 9046425154 |
| Mailing Telephone | 9046426100 |
| Mailing Fax Number | 9046425154 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN11004148 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104567600 | 05 |
| Street Address |
4972 TOWN CENTER PKWY UNIT 301 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246-8596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851546 | Thomas James Purcell | Pediatrics | 4972 Town Center Pkwy Unit 301, Jacksonville, FL 32246-8596 | 2005-06-16 |
| 1841727716 | Kenyanita Ellis | Pediatrics | 4972 Town Center Pkwy Unit 301, Jacksonville, FL 32246-8596 | 2017-05-22 |
| 1134652761 | Zach Zarir Abuwalla | Pediatrics | 4972 Town Center Pkwy Unit 301, Jacksonville, FL 32246-8596 | 2017-04-10 |
| 1679980122 | Sukeshi K Patel | Pediatrics | 4972 Town Center Pkwy Unit 301, Jacksonville, FL 32246-8596 | 2014-07-16 |
| 1740546142 | Viviana Smith Vazquez | Pediatrics | 4972 Town Center Pkwy Unit 301, Jacksonville, FL 32246-8596 | 2012-04-10 |
| 1023338811 | Julie Marie Stephens | Nurse Practitioner | 4972 Town Center Pkwy Unit 301, Jacksonville, FL 32246-8596 | 2010-06-03 |
| 1235330986 | Premal Shobhan Acharya | Pediatrics | 4972 Town Center Pkwy Unit 301, Jacksonville, FL 32246-8596 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179863 | Samar A Ibrahim | Pharmacist | 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 | 2019-11-19 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1780173526 | Jules Novall LLC | Taxi | 4600 Touchton Rd, Jacksonville, FL 32246 | 2018-05-08 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1558739417 | Jessica Brake | Physical Therapist | 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 | 2015-09-09 |
| 1043686256 | Healthyeye Dba Vision Express LLC | Optometrist | 4871 Town Center Parkway #5, Jacksonville, FL 32246 | 2015-08-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| Find all providers in zip 32246 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144707183 | Kevin Troup | Nurse Practitioner | 559 Apple Creek Dr, Jacksonville, FL 32218-8954 | 2018-07-23 |
| 1629447552 | Kelly Conway Watson | Nurse Practitioner | 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 | 2015-09-22 |
| 1750795803 | Maria Gianna Agustin | Nurse Practitioner | 5618 Jeremy Ln, Jacksonville, FL 32257-3215 | 2014-06-17 |
| 1881021376 | Erika Laine Baker | Nurse Practitioner | 655 W 8th St # C3, Clinical Center 6th Floor, Suite 6-030, Jacksonville, FL 32209-6511 | 2013-09-30 |
| 1598010688 | Gabrielle Rollins | Nurse Practitioner | 10095 Beach Blvd Ste 400, Jacksonville, FL 32246-4776 | 2012-07-16 |
| 1255659629 | Paul Bryan Hofrichter | Nurse Practitioner | 10475 Centruion Parkway, N., Suite 220, Jacksonville, FL 32256 | 2010-05-11 |
| 1306972161 | Robin Paylor Johnson | Nurse Practitioner | 10337 San Jose Blvd Ste 104, Jacksonville, FL 32257-8223 | 2007-02-26 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1336191121 | Lori M Olivarez | Nurse Practitioner | 7807 Baymeadows Rd E., Suite 207, Jacksonville, FL 32256 | 2006-05-17 |
| 1568453504 | Dolores C Jones | Nurse Practitioner | 8344 Whitmire Ct, Jacksonville, FL 32216-1159 | 2005-10-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
Please comment or provide details below to improve the information on MARIAISYS GOMEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.