Organization
ADVANCED PHYSICAL MEDICINE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLOYDIAN CRUZ-GOMEZ M.D. (PHYSICIAN)
(727) 748-4742
Entity
Organization
Contact information
Practice address
2835 ALT 19, SUITE B, PALM HARBOR, FL 34683-1926
(727) 748-4742
(727) 748-4739
Mailing address
2835 ALT 19, SUITE B, PALM HARBOR, FL 34683-1926
(727) 748-4742
(727) 748-4739
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME110430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336320787
NPI
FL
Enumeration date
07/15/2015
Last updated
10/02/2015
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