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Organization

VEIN & VASCULAR EXPERTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUSTAVO DE JESUS-GOMEZ MD (OWNER/PRESIDENT)
(863) 937-3139
Entity
Organization

Contact information

Practice address
5325 US HWY 98 S, LAKELAND, FL 33812
(863) 937-3139
(863) 937-3147
Mailing address
PO BOX 1328, HIGHLAND CITY, FL 33846-1328
(863) 937-3139
(863) 937-3147

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME112008
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113603200
FL
Enumeration date
07/14/2017
Last updated
10/16/2025
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