Organization
FRANCISCO M GOMEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO MANUEL GOMEZ M.D. (PHYSICIAN/OWNER)
(813) 873-2663
Entity
Organization
Contact information
Practice address
302 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33609-1239
(813) 873-2663
(813) 873-7001
Mailing address
503 S MACDILL AVENUE, TAMPA, FL 33609-3000
(813) 873-2663
(813) 873-7001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME39173
FL
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040304100
—
FL
01
—
62530
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/19/2008
Last updated
04/12/2013
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