Carlos L Dominguez Md Pa

LBN: Carlos L Dominguez Md Pa
Carlos L Dominguez Md Pa is an health care organization with primary practice located at 1857 Providence Blvd , Deltona FL 32725-3811. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Carlos L Dominguez Md Pa can be contacted via phone (386) 789-8544, or through Dominguez, Carlos L via phone (386) 789-8544.

Contact Information

Primary practice address
1857 Providence Blvd Deltona FL 32725-3811
Phone: (386) 789-8544
Fax: (386) 951-4809
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Carlos L Doctor of Medicine (MD)
Phone: (386) 789-8544

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0072352 Florida

Profile Details

NPI number 1730452970
LBN Legal business name Carlos L Dominguez Md Pa
DBA Doing business as
Authorized official Dominguez, Carlos L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2012
Last updated Feb 20th, 2012 - about 12 years ago

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 1730452970 NPPES
Florida MEDICAID 252750200

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