Provider Demographics
NPI:1851522825
Name:GOMEZ, CHRISTINA CATHERINE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:CATHERINE
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4061 CANINO CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6407
Mailing Address - Country:US
Mailing Address - Phone:813-843-0631
Mailing Address - Fax:
Practice Address - Street 1:25179 SAWYER FRANCIS LN
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559
Practice Address - Country:US
Practice Address - Phone:813-733-7300
Practice Address - Fax:813-733-7360
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12086207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHJ990ZMedicare PIN