DR. VINICIUS COSTA DINIZ DOMINGUES (NPI# 1023364387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023364387 |
Entity Type | Individual |
Full Name | DR. VINICIUS COSTA DINIZ DOMINGUES |
Credential | M.D. |
Practice Address |
709 N Clyde Morris Blvd Daytona Beach FL 32114-1603 |
Practice Telephone | 3475431232 |
Practice Fax Number | 3475431232 |
Mailing Telephone | 3862521632 |
Enumeration Date | 2012-07-24 |
Last Update Date | 2018-01-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME130111 | FL | Allopathic & Osteopathic Physicians |
Street Address |
709 N CLYDE MORRIS BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-1603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013909951 | Michael D Kohen | Allergy & Immunology | 709 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 | 2005-08-17 |
1679772446 | Michael D. Kohen, Md, Pa | Internal Medicine | 709 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 | 2007-07-12 |
1447242151 | Michael A Diamond | Allergy & Immunology | 709 N Clyde Morris Blvd, Daytona Beach, FL 32114-1603 | 2005-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659363505 | Yong H Tsai | Internal Medicine | 1893 N Clyde Morris Blvd, Suite 110, Daytona Beach, FL 32117-5535 | 2005-08-17 |
1770590366 | Nichole Ella Robinson | Internal Medicine | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619588654 | Wellness Institute of Miami Inc | Internal Medicine | 14114 Sw 42nd Ter, Miami, FL 33175-3644 | 2020-08-13 |
1003465253 | Mpp Infusion Center of Doctor Phillips, LLC | Internal Medicine | 6068 S Apopka Vineland Rd Ste 4, Orlando, FL 32819-4449 | 2019-09-10 |
1407408883 | Mpp Infusion Center of Kissimmee, LLC | Internal Medicine | 607 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2019-07-15 |
1811559487 | Mpp Infusion Center of Port St Lucie LLC | Internal Medicine | 525 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986-1605 | 2019-07-03 |
1336606383 | Infusion Center of Jacksonville, LLC | Internal Medicine | 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 | 2019-02-26 |
1972069946 | Mid-florida Rheumatology LLC | Internal Medicine | 1743 Park Center Dr Ste 400, Orlando, FL 32835-7621 | 2019-02-14 |
1992269468 | Rheumatology Center of Palm Beach Pllc | Internal Medicine | 3918 Via Poinciana Ste 2, Lake Worth, FL 33467-2991 | 2019-01-29 |
1598205072 | American Arthritis & Rheumatology Associates LLC | Internal Medicine | 2255 Glades Rd Ste 228w, Boca Raton, FL 33431-7391 | 2017-03-02 |
1275904575 | Florida Rheumatology Associates Inc | Internal Medicine | 6801 Us Highway 27 N Ste A2, Sebring, FL 33870-1000 | 2015-10-13 |
1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32114 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.