Individual
DANIEL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 4TH FLOOR, TAMPA, FL 33606-3603
(813) 259-8500
Mailing address
4701 N. FEDERAL HIGHWAY, BUILDING B, FORT LAUDERDALE, FL 33308
(954) 229-6000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME123249
FL
207V00000X
Obstetrics & Gynecology Physician
MT200411
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015264900
—
FL
01
—
150N2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/14/2011
Last updated
03/07/2018
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