Healthcare Provider Details

I. General information

NPI: 1851392369
Provider Name (Legal Business Name): EDUARDO GOMEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 RIVERWALK PARK BLVD STE 1
FORT MYERS FL
33919-8759
US

IV. Provider business mailing address

12670 CREEKSIDE LN STE 202
FORT MYERS FL
33919-3370
US

V. Phone/Fax

Practice location:
  • Phone: 239-482-5399
  • Fax: 239-482-5153
Mailing address:
  • Phone: 239-482-2663
  • Fax: 239-482-7585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME68661
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: