3D Sports Medicine & Orthopaedic Center

LBN: 3D Sports Medicine & Joint Center, Inc.
3D Sports Medicine & Orthopaedic Center is an health care organization with primary practice located at 141 Coconut Dr , Indialantic FL 32903-2607. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. 3D Sports Medicine & Joint Center, Inc. can be contacted via phone (321) 610-8939, or through Dominguez, David E via phone (321) 610-8939.

Contact Information

Primary practice address
141 Coconut Dr Indialantic FL 32903-2607
Phone: (321) 610-8939
Fax: (321) 622-8728
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, David E Doctor of Medicine (MD)
Phone: (321) 610-8939

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME110378 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME110378 Florida

Profile Details

NPI number 1316351372
LBN Legal business name 3D Sports Medicine & Joint Center, Inc.
DBA Doing business as 3D Sports Medicine & Orthopaedic Center
Authorized official Dominguez, David E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2014
Last updated Nov 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316351372 NPPES
Florida MEDICAID 012845800

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