Dominique Mesidor Md P.A.
LBN: Dominique Mesidor Md P.A.
Dominique Mesidor Md P.A. is an health care organization with primary practice located at 1839 Central Ave , St Petersburg FL 33713-8900. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is the primary health care specialty.
Dominique Mesidor Md P.A. can be contacted via phone (727) 896-1300, or through Mesidor, Dominique via phone (727) 328-7400.
Contact Information
Primary practice address
1839 Central Ave
St Petersburg FL 33713-8900
Phone: (727) 896-1300
Fax: (727) 896-1311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME86398 | Florida |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME86398 | Florida |
Profile Details
| NPI number | 1720113558 |
|---|---|
| LBN Legal business name | Dominique Mesidor Md P.A. |
| DBA Doing business as | |
| Authorized official | Mesidor, Dominique Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Feb 26th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720113558 | NPPES |
| Florida | Other | U1254X | MEDICARE |
| Florida | Other | 37818 | MEDICARE |
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