DR. FREDDY GOMEZ DE CORDOVA


Address: 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019
Phone: 8636807000

DR. FREDDY GOMEZ DE CORDOVA (NPI# 1508150616) 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) 1508150616
Entity Type Individual
Full Name DR. FREDDY GOMEZ DE CORDOVA
Credential M.D.
Practice Address 1600 Lakeland Hills Blvd
Lakeland
FL 33805-3019
Practice Telephone 8636807000
Practice Fax Number 8662648519
Mailing Telephone 8636807000
Mailing Fax Number 8662648519
Enumeration Date 2011-06-06
Last Update Date 2020-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME116868 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1600 LAKELAND HILLS BLVD
City LAKELAND
State FL
Zip Code 33805-3019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940695 Watson Clinic LLP Internal Medicine 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2005-05-31
1134720261 Hope Dukes Family Medicine 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2020-11-04
1659994259 Jessica Lynn Garber Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2020-05-19
1427681410 Paula Suryani Wibowo Nurse Practitioner 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2020-02-18
1932739828 Ashley Duncan Nurse Anesthetist, Certified Registered 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2020-01-21
1285273672 Nicholas Skulimoski Nurse Anesthetist, Certified Registered 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2020-01-02
1134779812 Mallory Bastian Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2019-09-16
1730741356 Kellie L. Smaidi Nurse Anesthetist, Certified Registered 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2019-07-03
1982265864 Alexandra Starzhevskiy Nurse Practitioner 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2019-06-22
1548829666 Ashley Nicole Craig Nurse Practitioner 1600 Lakeland Hills Blvd, Lakeland, FL 33805 2019-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477188704 Ernie Tairon Lugo Nursing Home Administrator 5210 State Road N 33, Lot 8, Lakeland, FL 33805 2020-03-06
1912546631 Francis Esperanzate Physical Therapist 5070 Menlo Parke Way, Lakeland, FL 33805 2019-12-27
1689232514 Anointed Touch Home Health 617 S Robson Street, Lakeland, FL 33805 2019-06-05
1083160642 Cherlande Pierre Chiropractor 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 2016-09-01
1992251706 Damaris Salmeron Physical Therapy Assistant 3127 Us Hwy 98 N, Lakeland, FL 33805 2016-08-31
1831589076 Sarah Mcneill Pharmacist 3124 Lakeland Hills Blvd, Lakeland, FL 33805 2015-01-26
1750706479 Alison M Busby Counselor Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 2014-03-04
1174872907 William Vargas, M.d. P. A. Anesthesiology 202 Parkview Place, Lakeland, FL 33805 2012-09-07
1184998056 Eduardo Francisco Lopez Garcia Internal Medicine 135 E First Street, Lakeland, FL 33805 2012-02-24
1255625513 Navdeep Singh Jassal Physical Medicine & Rehabilitation 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 2011-06-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174121909 Amanda Millican Family Medicine 605 Laura Rd, Lakeland, FL 33815-3220 2020-10-14
1093320848 Katrena Borders Flowers Family Medicine 2629 Highlands Creek Way, Lakeland, FL 33813-6301 2020-09-09
1578177523 Robinson Family Clinic Inc Family Medicine 4406 S Florida Ave Ste 30, Lakeland, FL 33813-2176 2020-09-06
1306467311 Christopher James Miller Family Medicine 215 S Elm Rd, Lakeland, FL 33801-2310 2020-04-30
1811480387 Victoria Anne Morin Family Medicine 1463 Town Center Dr, Lakeland, FL 33803-7966 2018-06-10
1467890665 Rachael Veronique Ollivierre-agard Family Medicine 170 Fitzgerald Rd Ste 1, Lakeland, FL 33813-2633 2013-06-10
1740587211 Javier Andres Diago Benjumea Family Medicine 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 2011-02-18
1891099792 Sergio B Seoane Md Pa Family Medicine 118 Allamanda Sr, Lakeland, FL 33803 2011-01-06
1063673812 Avantica Gondi Family Medicine 1818 Harden Blvd Ste 120, Lakeland, FL 33803-1813 2008-06-24
1942460902 Michael Curtiss Family Medicine 2039 E Edgewood Dr, Suite B, Lakeland, FL 33803-3601 2008-06-12
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Competitor

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City LAKELAND
Zip Code 33805

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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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