JENNIFER DOMINGUEZ PA NPI 1588036347

NPI Information

NPI: 1588036347
Provider Name: JENNIFER DOMINGUEZ, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
6811 PORTO FINO CIR
FORT MYERS, FL
ZIP 33912
Phone: (239) 225-1306
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Jennifer Dominguez, PA is a medical physician assistant in Fort Myers, FL. Jennifer Dominguez, PA NPI is 1588036347. 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:

6811 PORTO FINO CIR
FORT MYERS, FL
ZIP 33912-354
Phone: (239) 225-1306
Fax: (239) 768-1313

The NPI 1588036347 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 10/20/2015 and was last updated on 10/20/2015.

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
1	363AM0700X	Physician Assistant	Medical	PA 9109121	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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