Gomez, Manuel A

Gomez, Manuel A is an individual health care provider with primary practice located at 500 Vonderburg Dr Ste 102E , Brandon FL 33511-5968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gomez, Manuel A can be contacted via phone (813) 681-5658.

Contact Information

Primary practice address
500 Vonderburg Dr Ste 102E Brandon FL 33511-5968
Phone: (813) 681-5658
Fax: (813) 681-5250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME96113 Florida

Profile Details

NPI number 1952487688
LBN Legal business name Gomez, Manuel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Oct 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952487688 NPPES
Florida Other 6724259 CIGNA PROVIDER NUMBER
Florida Other 593400761 CIGNA PROVIDER NUMBER
Florida Other 593400761C CIGNA PROVIDER NUMBER
Florida Other 94435 CIGNA PROVIDER NUMBER
Florida Other 364500 CIGNA PROVIDER NUMBER

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