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Organization
MARIA R GOMEZ MD PA
Active
Organization
MARIA R GOMEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ROSARIO GOMEZ M.D (DOCTOR)
(813) 873-2663
Entity
Organization
Contact information
Practice address
302 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33609-1249
(813) 873-2663
(813) 873-7001
Mailing address
302 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33609-1249
(813) 873-2663
(813) 873-7001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045372200
—
FL
01
—
79920
BCBS
FL
Enumeration date
11/17/2008
Last updated
07/18/2014
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