DR. GUSTAVO ALBERTO DE JESUS-GOMEZ (NPI# 1033314190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033314190 |
Entity Type | Individual |
Full Name | DR. GUSTAVO ALBERTO DE JESUS-GOMEZ |
Credential | M.D. |
Practice Address |
5907 Hillside Heights Dr. Lakeland FL 33812 |
Mailing Address |
Po Box 1328 Highland City FL 33846-1328 |
Practice Telephone | 8639373139 |
Practice Fax Number | 8636465834 |
Mailing Telephone | 8639373139 |
Mailing Fax Number | 8639373147 |
Enumeration Date | 2007-06-19 |
Last Update Date | 2018-02-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | ME112008 | FL | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 25992 | PR | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME112008 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS OF FLORIDA | 14JQ2 | 01 |
Street Address |
5907 HILLSIDE HEIGHTS DR. |
City | LAKELAND |
State | FL |
Zip Code | 33812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689196248 | Vein & Vascular Experts, Pllc | Surgery | 5907 Hillside Heights Dr., Lakeland, FL 33812 | 2017-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891036976 | Arlene Nitza Hunt | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2013-03-14 |
1952648867 | Christopher Benka | Pharmacist | 5185 Us Highway 98 S, Lakeland, FL 33812 | 2013-01-11 |
1407105083 | Elena Kan | Dentist | 5644 Vintage View Boulevard, Lakeland, FL 33812 | 2012-08-29 |
1760611412 | Blanca Lilia Fernandez | Dentist | 5163 Us Highway 98 S, Lakeland, FL 33812 | 2009-07-02 |
1760600142 | Internal Medicine Specialists Medical Group Pa | Internal Medicine | 3655 Innovation Dr, Lakeland, FL 33812 | 2007-04-23 |
1124171475 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 5155 Us Highway 98 South, Suites 5b&5c, Lakeland, FL 33812 | 2007-01-19 |
1356322234 | Carlos M Romero | Family Medicine | 3655 Innovation Drive, Lakeland, FL 33812 | 2005-11-08 |
1427055318 | Roxann Castelli Cook | Family Medicine | 2803 Meridian Point Lane, Lakeland, FL 33812 | 2005-07-07 |
1316577513 | Ashley Joanne Reckord | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2020-01-16 |
1013470483 | Sanger and Associates - Behavioral and Psychological Services, LLC | Psychologist | 2780 Verandah Vue Way, Lakeland, FL 33812 | 2019-04-11 |
Find all providers in zip 33812 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528363041 | Rapha Vascular Specialists Inc. | Surgery | 1619 Harden Blvd, Lakeland, FL 33803-1826 | 2011-01-13 |
1689196248 | Vein & Vascular Experts, Pllc | Surgery | 5907 Hillside Heights Dr., Lakeland, FL 33812 | 2017-07-14 |
1558775874 | Tushar Champaklal Barot | Surgery | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2014-06-14 |
1548526155 | Vascular Specialists of Lakeland, LLC | Surgery | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2012-04-09 |
1811216732 | Ritu Aparajita | Surgery | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2010-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.