Marini, Domenic

Marini, Domenic is an sole proprietor health care provider with primary practice located at 19 Old Kings Rd N Suite C-106, Palm Coast FL 32137-8260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Marini, Domenic can be contacted via phone (386) 446-6540.

Contact Information

Primary practice address
19 Old Kings Rd N Suite C-106 Palm Coast FL 32137-8260
Phone: (386) 446-6540
Fax: (386) 447-7732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME80454 Florida
Other Service Providers / Specialist 174400000X ME80454 Florida

Profile Details

NPI number 1184688251
LBN Legal business name Marini, Domenic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Dec 18th, 2008 - about 16 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 1184688251 NPPES
Florida Other AX630 MEDICARE GROUP NUMBER
Florida Other 17609 MEDICARE GROUP NUMBER

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