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Provider Information for 1528270329

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ANA IRIS GOMEZ MD

Gender: FEMALE

Individual NPI: 1528270329

Calendar   Last Updated:  2015-07-27
  Certification Date: 

Details

Name Value
NPI 1528270329
Enumeration Date 2007-05-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 5707 N 22ND ST
TAMPA, FL 33610-4350
United States

Phone: 813-239-8069 | Fax: 813-272-3766
View Map External Link
Primary Practice Address 5707 N 22ND ST
TAMPA, FL 33610-4350
United States

Phone: 813-239-8069 | Fax: 813-272-3766
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2084P0800X - Psychiatry & Neurology Psychiatry FL ME 123455
No 2084P0800X - Psychiatry & Neurology Psychiatry CA A108565
No 2084P0800X - Psychiatry & Neurology Psychiatry SC 34446