NPI 1053123166

Andres Mauricio Gomez Jacome

Practitioner Surgical Assistant Tampa, FL

Practice location

Address: 800 N Howard Ave Unit 352, Tampa, FL 33606-1086
Phone: (321) 890-9170

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 18-417 (FL)

Other Specialist/Technologist, Other providers in Florida →

Registry record

NPI: 1053123166
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2025
Record last updated: 24 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.