Dominguez, Roberto V
Dominguez, Roberto V is an individual health care provider with primary practice located at 2914 N Boulevard , Tampa FL 33602-1208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Dominguez, Roberto V can be contacted via phone (813) 228-7696.Contact Information
Primary practice address
2914 N Boulevard
Tampa FL 33602-1208
Phone: (813) 228-7696
Fax: (813) 228-0677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME0070106 | Florida |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME0070106 | Florida |
Profile Details
| NPI number | 1659337731 |
|---|---|
| LBN Legal business name | Dominguez, Roberto V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659337731 | NPPES |
| Florida | MEDICAID | 2513081-00 | |
| Florida | Other | 2755877 | |
| Florida | Other | B217748 | |
| Florida | Other | 2305989 | |
| Florida | Other | 32985 | |
| Florida | Other | 4333872005 |
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