Individual
DR. DIANA P GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
8801 COMMODITY CIR, ORLANDO, FL 32819-9053
(407) 248-0100
(407) 248-8364
Mailing address
8801 COMMODITY CIR, ORLANDO, FL 32819-9053
(407) 248-0100
(407) 248-8364
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64876
BCBS
FL
01
—
970832
UNITED CONCORDIA
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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