Healthcare Provider Details

I. General information

NPI: 1336320787
Provider Name (Legal Business Name): GLOYDIAN CRUZ-GOMEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GLOYDIAN GOMEZ CRUZ M.D.

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E 8TH AVE STE A200
TAMPA FL
33605-3765
US

IV. Provider business mailing address

PO BOX 22511
TAMPA FL
33622-2511
US

V. Phone/Fax

Practice location:
  • Phone: 727-748-4742
  • Fax: 727-748-4739
Mailing address:
  • Phone: 787-309-7108
  • Fax: 727-748-4739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME110430
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: