Dr. Gustavo Alberto De Jesus-Gomez
Surgeon Vascular Surgeon
5907 Hillside Heights Dr.
Lakeland
, Florida 33812
Dr. Gustavo Alberto De Jesus-Gomez
Surgeon Vascular Surgeon
5907 Hillside Heights Dr.
Lakeland
, Florida 33812
(863) 937-3147
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gustavo Alberto De Jesus-Gomez
- Po Box 1328
- Highland City, FL
- Zip : 33846-1328
- Fax : (863) 937-3147
- Phone : (863) 937-3139
Second Address
- Dr. Gustavo Alberto De Jesus-Gomez
- 5907 Hillside Heights Dr.
- Lakeland, FL
- Zip : 33812
- Fax : (863) 646-5834
- Phone : (863) 937-3139
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 25992 | PR |
| N | 208600000X | Surgeon | 25992 | PR |
| N | 208200000X | Surgeon | ME112008 | FL |
| N | 208600000X | Surgeon | ME112008 | FL |
| Y | 2086S0129X | Vascular Surgeon | ME112008 | FL |
National Provider Identifier
| NPI | 1033314190 |
|---|---|
| Provider Name | Dr. Gustavo Alberto De Jesus-Gomez |
| First Address | Highland City, FL 33846-1328 |
| Second Address | Lakeland, FL 33812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2007 |
| Last Update Date | 16/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 14JQ2 | BCBS OF FLORIDA (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.