Provider Demographics
NPI:1346439825
Name:GOMEZ, GIANNELLA (DC)
Entity Type:Individual
Prefix:DR
First Name:GIANNELLA
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13911 N DALE MABRY HWY STE 107
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2414
Mailing Address - Country:US
Mailing Address - Phone:813-915-5347
Mailing Address - Fax:813-252-1380
Practice Address - Street 1:13911 N DALE MABRY HWY STE 107
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2414
Practice Address - Country:US
Practice Address - Phone:813-915-5347
Practice Address - Fax:813-252-1380
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor