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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184688251 | NPPES |
Florida | Other | AX630 | MEDICARE GROUP NUMBER |
Florida | Other | 17609 | MEDICARE GROUP NUMBER |
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