Provider Demographics
NPI:1164278669
Name:GOMONIT, RED DAWN (APRN)
Entity type:Individual
Prefix:
First Name:RED DAWN
Middle Name:
Last Name:GOMONIT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 E FISHER ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-4854
Mailing Address - Country:US
Mailing Address - Phone:850-686-2749
Mailing Address - Fax:
Practice Address - Street 1:6005 COLLEGE PKWY STE 2
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-7967
Practice Address - Country:US
Practice Address - Phone:850-549-3379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11032208363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner