Vanessa Azucena Gomez, MD | |
9981 S Healthpark Dr, Suite 619, Fort Myers, FL 33908-3618 | |
(239) 343-5651 | |
(239) 343-5652 |
Full Name | Vanessa Azucena Gomez |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 9981 S Healthpark Dr, Fort Myers, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699786178 | NPI | - | NPPES |
276156400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME96499 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Mailing Address | Practice Location Address |
---|---|
Vanessa Azucena Gomez, MD P.o. Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-5651 | Vanessa Azucena Gomez, MD 9981 S Healthpark Dr, Suite 619, Fort Myers, FL 33908-3618 Ph: (239) 343-5651 |
Price S Ward, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5000 | |
Melanie Aliza Coombs-bynum, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9350 Camelot Dr, Fort Myers, FL 33919 Phone: 239-481-5437 Fax: 239-481-0570 | |
Dr. Emad S Mansour, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5651 Fax: 239-343-5652 | |
Cayce Jehaimi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15901 Bass Rd Ste 102, Fort Myers, FL 33908 Phone: 239-343-9890 Fax: 239-343-9898 | |
Dr. Dana Debord Crater, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9350 Camelot Dr, Fort Myers, FL 33919 Phone: 239-481-5437 Fax: 239-481-0570 | |
Dr. Robert Edward Rayder, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave Ste 209, Fort Myers, FL 33901 Phone: 239-278-9983 Fax: 239-278-9985 | |
Dr. Hetty Zoe Snyderman, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Carrotwood Ct, Fort Myers, FL 33919 Phone: 239-898-8988 |