Gomez De Tavarez, Brunel Teresa

Gomez De Tavarez, Brunel Teresa is an individual health care provider with primary practice located at 14405 Arbor Green Trl , Lakewood Ranch FL 34202-8409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gomez De Tavarez, Brunel Teresa can be contacted via phone (941) 917-7080.

Contact Information

Primary practice address
14405 Arbor Green Trl Lakewood Ranch FL 34202-8409
Phone: (941) 917-7080
Fax: (941) 917-7085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME130101 Florida

Profile Details

NPI number 1013352343
LBN Legal business name Gomez De Tavarez, Brunel Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2013
Last updated Jul 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013352343 NPPES
Florida MEDICAID 376537700

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