DR. GUSTAVO ALBERTO DE JESUS-GOMEZ


Address: 5907 Hillside Heights Dr., Lakeland, FL 33812
Phone: 8639373139

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS OF FLORIDA 14JQ2 01

Office Location

Street Address 5907 HILLSIDE HEIGHTS DR.
City LAKELAND
State FL
Zip Code 33812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689196248 Vein & Vascular Experts, Pllc Surgery 5907 Hillside Heights Dr., Lakeland, FL 33812 2017-07-14

Providers in the same zip code

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 Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LAKELAND
Zip Code 33812

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Dataset Information

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.

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