Individual
IGNACIO GONZALEZ-GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4341
(727) 767-8516
Mailing address
501 6TH AVE S, BOX 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
ME104028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000782800
—
FL
05
—
00A670490
—
CA
01
—
1454H
BLUE CROSS/BLUE SHIELD
FL
01
—
1981246
CIGNA
FL
01
—
294635
STAYWELL/HEALTHEASE
FL
01
—
331553
AVMED
FL
01
—
7913502
AETNA
FL
Enumeration date
09/21/2006
Last updated
03/03/2010
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