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 1:10645 DEERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6896
Mailing Address - Country:US
Mailing Address - Phone:813-426-5180
Mailing Address - Fax:
Practice Address - Street 1:14751 STATE ROAD 52
Practice Address - Street 2:A105
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669-4060
Practice Address - Country:US
Practice Address - Phone:352-686-8888
Practice Address - Fax:352-684-6888
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2014-06-12
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