MS. MAYELIN GOMEZ (NPI# 1770618860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770618860 |
| Entity Type | Individual |
| Full Name | MS. MAYELIN GOMEZ |
| Credential | ARNP-C |
| Practice Address |
16410 Healthpark Commons Dr Fort Myers FL 33908 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436202 |
| Practice Fax Number | 2394378537 |
| Mailing Telephone | 2393436202 |
| Mailing Fax Number | 2394378537 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP3049922 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103204700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Augusta, GA 309121051 | 7067218623 | 7067211459 |
| Street Address |
16410 HEALTHPARK COMMONS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360842 | Edward James Jurkovic | Internal Medicine | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2005-07-19 |
| 1477103323 | Linda Andreassi | Nurse Practitioner | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2019-09-12 |
| 1861821167 | Karen Reamer | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2013-11-06 |
| 1104121243 | Susan Jane Nolan | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908 | 2011-01-21 |
| 1962710715 | Karen Anne Mikol | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908 | 2010-09-15 |
| 1841421534 | Augustine Salami | Internal Medicine | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2009-07-29 |
| 1851553606 | Motaz Al-hafnawi | Internal Medicine | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2008-07-01 |
| 1477723138 | Sharon L Grantham | Nurse Practitioner | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2008-03-08 |
| 1639104730 | Tasha M Sylva | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2006-07-11 |
| 1861430134 | Francisco Roberto Ruiz | Internal Medicine | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341450 | Kimberly Debow | Nurse Practitioner | 14646 Aeries Way Dr, Fort Myers, FL 33912-1703 | 2019-02-06 |
| 1144704917 | Adelene Frances Tolisano | Nurse Practitioner | 6840 Fairview St, Fort Myers, FL 33966-1133 | 2018-09-18 |
| 1215417951 | Doreen Destefano | Nurse Practitioner | 12734 Kenwood Ln Ste 84, Fort Myers, FL 33907-5638 | 2018-08-21 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1891127791 | Kimberly A. Litka | Nurse Practitioner | 6150 Diamond Centre Ct Unit 400, Fort Myers, FL 33912-4367 | 2013-08-01 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1376694778 | Melanie Makar | Nurse Practitioner | 1390 Royal Palm Square Blvd, Fort Myers, FL 33919-1077 | 2007-01-15 |
| 1598814972 | Deborah Wince Chapa | Nurse Practitioner | 8925 Colonial Center Drive, Suite 1000, Fort Myers, FL 33905-7810 | 2007-01-09 |
| 1316048895 | Laurie Haefele | Nurse Practitioner | 11215 Metro Pkwy, Fort Myers, FL 33966-1206 | 2006-09-26 |
| 1457451130 | Jo Anne Theresa Kowalski | Nurse Practitioner | 17050 Coral Cay Ln, Fort Myers, FL 33908-5073 | 2006-09-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MS. MAYELIN GOMEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.