MR. MANUEL O. GOMEZ


Address: 141 E Central Ave Ste 340, Winter Haven, FL 33880
Phone: 8634128711

MR. MANUEL O. GOMEZ (NPI# 1285876409) 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) 1285876409
Entity Type Individual
Full Name MR. MANUEL O. GOMEZ
Credential MS., LMH,MCAP, CCM,
Practice Address 141 E Central Ave Ste 340
Winter Haven
FL 33880
Mailing Address 141 E Central Ave Ste 340
Winter Haven
FL 33880-6339
Practice Telephone 8634128711
Practice Fax Number 8773400107
Mailing Telephone 8634128711
Mailing Fax Number 8773400107
Enumeration Date 2009-04-02
Last Update Date 2018-09-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ABC010814-215 FL Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
11142 FL Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
6158 FL Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator 131096 FL Other Service Providers
N 171M00000X Case Manager/Care Coordinator 689259179 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 689259179 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2791 Lake Alfred Rd, Winter Haven, FL 338811432 8632914590 8635086503
360 Sand Pine Trl, Winter Haven, FL 338801103 8634128711 8773400107

Other Providers MANUEL GOMEZ

NPI Name Taxonomy Address Enumeration
1992136634 Manuel Gomez IIi Occupational Therapist 2922 N Rose St, Harlingen, TX 78550-3629 2013-12-05
1215139944 Manuel Gomez Obstetrics & Gynecology Carretera 3 Km 85.6 Barrio Candelero Plaza Del Mar, Humacao, PR 00791 2007-06-04
1841293636 Manuel Antonio Gomez Pathology 320 W Main St, White Sulphur Springs, WV 24986-2414 2005-05-24
1831790880 Manuel Gomez Case Manager/Care Coordinator 5190 Atlantic Ave, Long Beach, CA 90805-6510 2020-11-05
1649882796 Manuel D Gomez Pharmacist 151 N State St, Chicago, IL 60601-3601 2020-08-20
1336783422 Manuel Acosta Gomez Counselor 1100 N D St, San Bernardino, CA 92410-3524 2019-10-31
1952487688 Manuel A Gomez Family Medicine 1082 E Brandon Blvd, Brandon, FL 33511-5509 2006-10-27
1417051418 Manuel Gomez Dentist 322 S Dental Science Bldg, Iowa City, IA 52242-1001 2006-09-11
1245274232 Manuel Joaquin Gomez Pediatrics 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 2006-06-16

Office Location

Street Address 141 E CENTRAL AVE STE 340
City WINTER HAVEN
State FL
Zip Code 33880

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851896955 Cheryl Gonzalez Physical Therapy Assistant 1601 6th Street Swe, Winter Haven, FL 33880 2018-03-29
1265950661 Integrity Prosthetics and Orthotics Prosthetic/Orthotic Supplier 135 1st Street South, Winter Haven, FL 33880 2017-09-06
1912423427 Stacy Lewis Counselor 1943 Ave E Sw, Winter Haven, FL 33880 2017-08-16
1497275952 Kleine Pediatrics Pediatrics 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 2017-06-26
1255851457 Farah N Habib Dentist 375 E Central Ave, Suite 361, Winter Haven, FL 33880 2017-06-20
1356878086 Congruent Hearts Companions Home Health 111 Ave R N.e., Winter, FL 33880 2017-05-12
1689033201 Jason Acosta General Practice 111 Avenue A Se, Winter Haven, FL 33880 2016-02-11
1629440573 National Vision, Inc. Technician/Technologist 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 2015-10-30
1518336825 Nicole A. Domenech General Practice 950 First St. South, Winter Haven, FL 33880 2015-09-16
1447666417 Lee Tramell Vickers Pharmacist 701 1st Street, Winter Haven, FL 33880 2014-07-10
Find all providers in zip 33880

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487286472 Briana Renee Coffman Counselor 650 Avenue K Nw, Winter Haven, FL 33881-4032 2020-02-07
1962034207 Amy Radivoy Counselor 333 Lake Howard Dr Nw Apt 312b, Winter Haven, FL 33880-2310 2020-02-05
1568024578 Deirdra Eileen Sanders-burnett Counselor 1106 Meadow Lark Ln, Winter Haven, FL 33884-2543 2019-07-01
1407416514 Elzie Dwight Frazier Counselor 526 Cody Caleb Dr, Winter Haven, FL 33884-2206 2019-06-20
1104325364 Aimee Lightburn Counselor 7512 Cypress Gardens Blvd, Winter Haven, FL 33884-3200 2018-02-02
1912423427 Stacy Lewis Counselor 1943 Ave E Sw, Winter Haven, FL 33880 2017-08-16
1386195329 Patti Beisner Counselor 438 Gleneagles Ct, Winter Haven, FL 33884-1221 2016-10-14
1538544564 Erik Gordon Counselor 713 S Lake Florence Dr, Winter Haven, FL 33884-2249 2015-07-20
1811390164 Marie Beauvil Counselor 707 25th St Nw, Winter Haven, FL 33881-2937 2014-10-01
1003247883 Sarah Steger Counselor 343 Terranova Blvd, Winter Haven, FL 33884-3427 2013-12-04
Find all providers in WINTER HAVEN

Competitor

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City WINTER HAVEN
Zip Code 33880

Improve Information

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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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