MEDICARE: DR. GIANNELLA GOMEZ D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH 8974	FL

General Provider Information

NPI Number	:	1346439825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIANNELLA GOMEZ D.C.

Provider Business Mailing Address
First Line	:	13911 N DALE MABRY HWY STE 107
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2414
Country	:	US
Telephone Number	:	813-915-5347
Fax Number	:	813-252-1380

Provider Business Practice Location Address
First Line	:	13911 N DALE MABRY HWY STE 107
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2414
Country	:	US
Telephone Number	:	813-915-5347
Fax Number	:	813-252-1380

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	01/30/2024

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