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JUAN C. DOMINGO M.D.P.A. NPI 1669613998


NPI Information

NPI: 1669613998
Provider Name: JUAN C. DOMINGO, M.D.,P.A.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
900 SW PINE ISLAND ROAD
UNIT 208
CAPE CORAL, FL
ZIP 33991
Phone: (239) 673-9861
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JUAN C. DOMINGO, M.D.,P.A. is an internal medicine in Cape Coral, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JUAN C. DOMINGO, M.D.,P.A. NPI is 1669613998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 SW PINE ISLAND ROAD
UNIT 208
CAPE CORAL, FL
ZIP 33991-000
Phone: (239) 673-9861
Fax: (239) 673-9886

The provider's authorized official is Juan Carlos Domingo .
The authorized official title is Ceo and has the following contact phone number (239) 673-9861.

The enumeration date for this NPI number is 3/17/2009 and was last updated on 3/17/2009.


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
1207R00000XInternal MedicineME52059FLORIDAYes

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
107319YMEDICARE PINFLORIDA
25194010OTHERFLORIDAAETNA
3046503900MEDICAIDFLORIDA
407319OTHERFLORIDABC/BS
50405271OTHERFLORIDAUNITED HEALTHCARE
6E14448MEDICARE UPINFLORIDA
74909698OTHERFLORIDACIGNA

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

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