Organization Active NPI

Gomez Personal Injury Clinic Inc

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1780731463
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC6681 Issued in FL
Legal business name
GOMEZ PERSONAL INJURY CLINIC INC
Practice address
4602 N Armenia Ave
Tampa, FL 33603-2703
Phone
(813) 876-1690
Fax
(813) 876-1690
NPI assigned
Jan 4, 2007
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mr. Eulogio David Gomez I
Title
President
Phone
(813) 876-1690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC6681 FL Primary

Addresses

Primary practice location

4602 N Armenia Ave
Tampa, FL 33603-2703

Mailing address

4602 N Armenia Ave
Tampa, FL 33603-2703
Phone (813) 876-1690

National Provider Directory

National Provider Directory

Locations

4602 N Armenia Ave
Ste 1
Tampa, FL 33603
Phone (813) 876-1653

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1780731463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032703",
            "telephone_number": "813-876-1690",
            "fax_number": "813-876-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032703",
            "telephone_number": "813-876-1690",
            "fax_number": "813-876-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ PERSONAL INJURY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "EULOGIO",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-876-1690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.