Individual
DIANE GOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2630
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 862810, ORLANDO, FL 32886-2810
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN3061612
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3061612
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302000200
—
FL
01
—
G2099
BLUE CROSS BLUE SHIELD
FL
01
—
P00047573
RAILROAD MEDICARE
FL
Enumeration date
09/28/2006
Last updated
01/09/2025
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