Individual
DR. GINA DIANA LOMBARDO PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1287 US HIGHWAY 41 BYP S, VENICE, FL 34285-5545
(941) 202-0500
(941) 202-0501
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME105220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005966600
—
FL
01
—
148TN
BCBS
FL
01
—
DI654Z
MEDICARE
FL
Enumeration date
06/10/2010
Last updated
08/26/2020
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