Active NPI
Juliana Bertha D Gomez Abanto, MD
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME170254
- Practice address
- 11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206 - Phone
- (239) 208-2212
- Fax
- (239) 208-3994
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | BP10056108 | TX | |
| Neurology Physician | 2084N0400X | ME170254 | FL | Primary |
Addresses
Primary practice location
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Mailing address
3102 4TH St Apt W122
Lubbock, TX 79415-3234
Phone (806) 507-0366
Other practice location 1
3601 4th St Stop 8321
Lubbock, TX 79430-8321
Phone (806) 743-2391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NH, KY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1170 Welch Rd
Apt 721
Palo Alto, CA 94304-1914
Phone (239) 208-2212
172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600
3326 Stanford Village CT
Rocklin, CA 95765-5007
Phone (706) 647-8111
4390 Clearwater Way
Apt 2411
Lexington, KY 40515-6387
Phone (239) 208-2212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME170254 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital-Franklin | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Concord Hospital-Laconia | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients |
Locations
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
Interoperability endpoints
- jgomezabanto4100437@oc.providencedirect.org
- jgomezabanto2992896@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Critical Access Hospital
- Franklin, NH
- NPI 1700960895
-
dba Concord Hospital-Laconia Professional Billing Service
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Concord Hospital-Franklin Swing Bed
- Critical Access Hospital
- Franklin, NH
- NPI 1114005535
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Putnam Hospital
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
dba CHI Health Lakeside
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
dba CalvertHealth Medical Center
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
-
dba CHI Health St. Francis
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1770036881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 4TH ST APT W122",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794153234",
"telephone_number": "806-507-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2212",
"fax_number": "239-208-3994"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St Stop 8321",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794308321",
"country_code": "US",
"telephone_number": "806-743-2391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ ABANTO",
"first_name": "JULIANA",
"middle_name": "BERTHA D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "BP10056108",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME170254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.