Marcantonio, Domenica

Marcantonio, Domenica is an sole proprietor health care provider with primary practice located at 1431 Sw 1St Ave , Ocala FL 34471. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Marcantonio, Domenica can be contacted via phone (352) 401-1000.

Contact Information

Primary practice address
1431 Sw 1St Ave Ocala FL 34471
Phone: (352) 401-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME111770 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101245230 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116018214 Virginia

Profile Details

NPI number 1033310412
LBN Legal business name Marcantonio, Domenica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Mar 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033310412 NPPES
Florida MEDICAID 004444400
Florida Other 14J65
Florida MEDICAID 1033310412

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