DOMINIQUE MESIDOR MD P.A. NPI 1720113558

NPI Information

  • NPI: 1720113558
  • Provider Name: DOMINIQUE MESIDOR MD P.A.
  • Classification: Surgery - 2086S0102X
  • Specialization: Surgical Critical Care
  • Entity Type: Organization
  • Address: 1839 CENTRAL AVE
    ST PETERSBURG, FL
    ZIP 33713
  • Phone: (727) 896-1300

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NPI Details

DOMINIQUE MESIDOR MD P.A. is a surgical critical care surgery in St Petersburg, 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. DOMINIQUE MESIDOR MD P.A. NPI is 1720113558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1839 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33713-900
Phone: (727) 896-1300
Fax: (727) 896-1311

The provider's authorized official is Dominique Mesidor .
The authorized official title is President and has the following contact phone number (727) 328-7400.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 2/26/2008.

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
12086S0127XSurgeryTrauma SurgeryME86398FLORIDANo
22086S0102XSurgerySurgical Critical CareME86398FLORIDAYes

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
1U1254XOTHERFLORIDAMEDICARE
237818OTHERFLORIDABLUE SHIELD FLORIDA
31033205091MEDICARE UPIN

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

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