Organization Active NPI

Fernando L Gomez MD PA

  • Reproductive Endocrinology Physician
  • Orlando, FL
National Provider Identifier
1104004688
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
FERNANDO L GOMEZ MD PA
Practice address
258 South Chickasaw Trail
Suite 310
Orlando, FL 32825-8232
Phone
(407) 281-9229
Fax
(407) 207-7180
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fernando L Gomez, MDNPI 1699705442
Title
President/Owner
Phone
(407) 281-9229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

258 South Chickasaw Trail
Suite 310
Orlando, FL 32825-8232

Mailing address

258 S Chickasaw TRL
Suite 310
Orlando, FL 32825-3501
Phone (407) 281-9229

National Provider Directory

National Provider Directory

Locations

7806 Lake Underhill Rd
Orlando, FL 32822
Phone (407) 281-9229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1104004688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S CHICKASAW TRL",
            "address_2": "SUITE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253501",
            "telephone_number": "407-281-9229",
            "fax_number": "407-207-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SOUTH CHICKASAW TRAIL",
            "address_2": "SUITE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258232",
            "telephone_number": "407-281-9229",
            "fax_number": "407-207-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO L GOMEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-281-9229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.