Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Edlin Gomez

Individual provider Family Nurse Practitioner · NPI 1104488907

Genesis Edlin Gomez is a Nurse Practitioner in Tavares, Florida. Qualified in 2019, 7 years ago. Practices with Lake Gastroenterology Associates LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019

Practice location Address checks out

1858 Mayo Dr
Tavares, FL 32778-4320
Phone: (352) 383-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11003026 (FL)

Record details

NPI number1104488907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2019
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address2010 Oakbend Dr, Eustis, FL 32726-2333

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lake Gastroenterology Associates Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tavares