| Doctor Name: | DR. MARGIE GOMEZ CAMPORREDONDO |
| NPI Number: | 1235162140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 13152 |
| Business Practice Address: | 1654 Village Center Dr Apt 301 Lakeland, FL - 338032872 |
| Business Phone Number: | 7875538374 |
| Business Fax Number: | 7877538897 |
| Mailing Address: | 1654 Village Center Dr, Apt 301 LAKELAND |
| State: | FL |
| Postal Code: | 338032872 |
| Phone Number: | 7875538374 |
| Fax Number: | 7877538897 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 04/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |