# FRANCISCO M GOMEZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184860223
- **Authorized official:** FRANCISCO MANUEL GOMEZ M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (813) 873-2663

## Contact information

- **Practice address:** 302 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33609-1239
- **Practice address phone:** (813) 873-2663
- **Practice address fax:** (813) 873-7001
- **Mailing address:** 503 S MACDILL AVENUE, TAMPA, FL 33609-3000
- **Mailing address phone:** (813) 873-2663
- **Mailing address fax:** (813) 873-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME39173 | FL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 12/19/2008
- **Last updated:** 04/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 040304100 | — | FL |
| 01 | — | 62530 | BLUE CROSS BLUE SHIELD | FL |