| Doctor Name: | JUDITH ANTOINETTE CLAYTON GOMEZ |
| NPI Number: | 1538576186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP1089452 |
| Business Practice Address: | 5201 Sw 196th Ln Southwest Ranches, FL - 333321111 |
| Business Phone Number: | 9546480398 |
| Business Fax Number: | 3059640370 |
| Mailing Address: | 5201 Sw 196th Ln, SOUTHWEST RANCHES |
| State: | FL |
| Postal Code: | 333321111 |
| Phone Number: | 9546480398 |
| Fax Number: | 3059640370 |
| NPI Enumeration Date: | 07/16/2014 |
| NPI Last Update Date: | 10/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | ARNP1089452 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |