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

Jorge Mario Gomez Bustamante, MD

Individual provider General Practice Physician · NPI 1184133050

Jorge Mario Gomez Bustamante, MD is a General Practice in Brandon, Florida. Qualified in 1997, 29 years ago. Practices with Cano Health, LLC, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
29
Licensed in
FL, PR
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

823 S Parsons Ave
Brandon, FL 33511-6063
Phone: (813) 662-4841
Fax: (813) 743-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2258 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4421 — (407) 750-8750

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN980 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 19770 (PR)

Record details

NPI number1184133050
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 23, 2017
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Cano Health, Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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