Individual ProviderJennifer GomezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11886 Lake Underhill Rd, Orlando, FL 32825-4436(407) 447-7773PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Gomez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:24 PM.Profile DetailsProvider ID1598649857Provider TypeIndividualFull NameGomez, JenniferGenderFemaleSole ProprietorNoEnumeration Date7/31/2025Last Updated7/31/2025Contact InformationPractice LocationPractice Address11886 Lake Underhill Rd, Orlando, FL 32825-4436Phone(407) 447-7773FaxUnlisted FaxMailing LocationMailing Address11886 Lake Underhill Rd, Orlando, FL 32825-4436PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11041147Florida