MEDICARE: DR. MANUEL A GOMEZ M.D.

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	207Q00000X	Family Medicine Physician	ME96113	FL

General Provider Information

NPI Number	:	1952487688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL A GOMEZ M.D.

Provider Business Mailing Address
First Line	:	7520 W WATERS AVE STE 19
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1599
Country	:	US
Telephone Number	:	813-374-2444
Fax Number	:	813-644-7040

Provider Business Practice Location Address
First Line	:	7520 W WATERS AVE STE 19
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1599
Country	:	US
Telephone Number	:	813-374-2444
Fax Number	:	813-644-7040

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	03/04/2026

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