Provider Demographics
NPI:1720889983
Name:GOMEZ, VICTOR MANUEL (DO)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:MANUEL
Last Name:GOMEZ
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 59TH STREET
Mailing Address - Street 2:
Mailing Address - City:WEST BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-6809
Mailing Address - Country:US
Mailing Address - Phone:941-216-9522
Mailing Address - Fax:
Practice Address - Street 1:2020 59TH STREET
Practice Address - Street 2:
Practice Address - City:WEST BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209
Practice Address - Country:US
Practice Address - Phone:941-216-9522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program