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DOMAHN INC NPI 1982858049


NPI Information

NPI: 1982858049
Provider Name: DOMAHN, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3109 TAMIAMI TRL
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 235-1500
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DOMAHN, INC is a specialist in Port Charlotte, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DOMAHN, INC NPI is 1982858049. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3109 TAMIAMI TRL
PORT CHARLOTTE, FL
ZIP 33952-046
Phone: (941) 235-1500
Fax: (941) 235-1508

The provider's authorized official is Mitho Larose Amilcar .
The authorized official title is Adminstrator and has the following contact phone number (941) 235-1500.

The enumeration date for this NPI number is 11/15/2008 and was last updated on 11/15/2008.


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
1174400000XSpecialistMA34283FLORIDAYes

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: 5/5/2024

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