IndividualActive
Mayra Gomez
NPI 1619720240 · Technician · Daytona Beach, FL
Provider details
- NPI number
- 1619720240
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone: (386) 255-4568
Approximate (ZIP-level) locationGet directions
Mailing address
1400 Clayton Dr
Deltona, FL 32725-7455
Registry dates
- Enumerated
- 2024-04-11
- Last updated
- 2024-04-11
- Certified
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.