Provider Demographics
NPI:1306324728
Name:RODRIGUEZ GOMEZ, FRANCISCO STEVEN (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:STEVEN
Last Name:RODRIGUEZ GOMEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6982 LAKE NONA BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-5001
Mailing Address - Country:US
Mailing Address - Phone:407-604-0946
Mailing Address - Fax:407-783-0024
Practice Address - Street 1:308 W BASS ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5001
Practice Address - Country:US
Practice Address - Phone:407-483-8801
Practice Address - Fax:407-483-1298
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD23913207R00000X
PR21717207R00000X
FLME145566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM5941Medicaid