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DR. SALVATORE DIDOMENICO DCPA NPI 1184821860


NPI Information

NPI: 1184821860
Provider Name: DR. SALVATORE DIDOMENICO DCPA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7466 EDENMORE STREET
LAKEWOOD RANCH, FL
ZIP 34202
Phone: (727) 365-4506
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DR. SALVATORE DIDOMENICO DCPA is a primary care clinic center in Lakewood Ranch, FL. DR. SALVATORE DIDOMENICO DCPA NPI is 1184821860. The provider is registered as an organization entity type.

The provider's business location address is:

7466 EDENMORE STREET
LAKEWOOD RANCH, FL
ZIP 34202
Phone: (727) 365-4506

The provider's authorized official is Salvatore Didomenico .
The authorized official title is President and has the following contact phone number (727) 365-4506.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 4/13/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareCH0007562FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1381824100MEDICAIDFLORIDA
255940MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 4/28/2024

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