Luis Fernando Gomez, MD | |
23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459-2606 | |
(850) 278-3920 | |
Not Available |
Full Name | Luis Fernando Gomez |
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Gender | Male |
Speciality | Pediatrics |
Location | 23 Mack Bayou Loop, Santa Rosa Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265408397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | ME70831 (Florida) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Luis Fernando Gomez, MD Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 475-4500 | Luis Fernando Gomez, MD 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459-2606 Ph: (850) 278-3920 |
Jennifer Sloboda, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 436 Carson Oaks Ln, Santa Rosa Beach, FL 32459 Phone: 630-337-0990 | |
Dr. Tiffany Laine Vroon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Suite 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 | |
Rodney Dixon Dorand, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Blue Mountain Rd, Santa Rosa Beach, FL 32459 Phone: 334-399-9553 Fax: 850-267-0359 | |
Crystal C Tidwell, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop, Ste 200, Santa Rosa Beach, FL 32459 Phone: 850-278-3920 Fax: 850-278-3919 | |
Dr. Susanna O Buchholz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 91 Mack Bayou Loop, Santa Rosa Beach, FL 32459 Phone: 850-659-6556 | |
Dr. Prabha Swamy Weiss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23 Mack Bayou Loop Ste 100, Santa Rosa Beach, FL 32459 Phone: 850-278-3136 Fax: 850-278-3104 |