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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 689259179 | 05 |
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 |
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 |
Street Address |
141 E CENTRAL AVE STE 340 |
City | WINTER HAVEN |
State | FL |
Zip Code | 33880 |
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 Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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 |
City | WINTER HAVEN |
Zip Code | 33880 |
Please comment or provide details below to improve the information on MR. MANUEL O. GOMEZ.
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.