DR. DOMINIQUE MESIDOR MD NPI 1033205091

NPI Information

  • NPI: 1033205091
  • Provider Name: DR. DOMINIQUE MESIDOR, MD
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2010 59TH ST W
    SUITE 2200
    BRADENTON, FL
    ZIP 34209
  • Phone: (941) 794-5621

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NPI Details

DR. Dominique Mesidor, MD is a surgical critical care surgery in Bradenton, FL. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Dominique Mesidor, MD NPI is 1033205091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2010 59TH ST W
SUITE 2200
BRADENTON, FL
ZIP 34209-616
Phone: (941) 794-5621
Fax: (941) 761-1532

The NPI 1033205091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 11/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0102XSurgerySurgical Critical Care044539GEORGIAYes
22086S0127XSurgeryTrauma SurgeryME0086398FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1267667200MEDICAIDFLORIDA
2U1254XOTHERFLORIDAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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