Individual
ELIZABETH JUVENTA GOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4430 14TH ST W, BRADENTON, FL 34207-1425
(941) 297-2123
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 315-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME151986
FL
207R00000X
Internal Medicine Physician
N9860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284425001
—
TX
01
—
8852737
CIGNA
FL
01
—
8CX150
BCBS
TX
01
—
L6Z09
FLORIDA BLUE
FL
Enumeration date
07/12/2006
Last updated
06/21/2023
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