Domis, Michael Eugene
Domis, Michael Eugene is an sole proprietor health care provider with primary practice located at 18203 Sandy Pointe Dr , Tampa FL 33647. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Domis, Michael Eugene can be contacted via phone (727) 804-3668.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2713 | Florida |
Profile Details
| NPI number | 1124077474 |
|---|---|
| LBN Legal business name | Domis, Michael Eugene |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Nov 7th, 2019 - about 6 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 | 1124077474 | NPPES |
| Florida | MEDICAID | 390456300 |
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