ELIDES DOMINGUEZ (NPI# 1124475835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124475835 |
| Entity Type | Individual |
| Full Name | ELIDES DOMINGUEZ |
| Credential | CACII |
| Practice Address |
2607 Windguard Cir Ste 102 Wesley Chapel FL 33544-7352 |
| Practice Telephone | 8139076767 |
| Practice Fax Number | 8139071911 |
| Mailing Telephone | 8139076767 |
| Mailing Fax Number | 8139071911 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ACN1111 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2607 WINDGUARD CIR STE 102 |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33544-7352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128413 | White Sands Home Health Care, Inc. | Registered Nurse | 4913 Pennecott Way, Wesley Chapel, FL 33544 | 2020-03-04 |
| 1932684560 | Jeneva M Barber | Counselor | 2824 Windguard Cir Ste 102, Wesley Chapel, FL 33544 | 2018-09-28 |
| 1457837874 | James Bishop | Physician Assistant | 2352 Bruce B Downs Blvd # 102, Wesley Chapel, FL 33544 | 2018-07-18 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1770094658 | Optimal Performance and Physical Therapies Wesley Chapel, LLC | Physical Therapist | 26830 Ridgebrook Dr, Suite 102, Wesley Chapel, FL 33544 | 2017-10-18 |
| 1942726690 | Phillip Montoure | Physical Therapist | 26830 Ridgerbrook Drive, Suite 102, Wesley Chapel, FL 33544 | 2017-08-15 |
| 1245760602 | Molinares Medical Center, LLC | Family Medicine | 2312 Crestover Lane, Ste 101, Wesley Chapel, FL 33544 | 2017-06-18 |
| 1700332558 | Qvita Health & Wellness, LLC | Clinic/Center | 2734 Windguard Circle, Suite 101, Welsy Chapel, FL 33544 | 2016-08-31 |
| 1740648724 | Graceful Caring | Health Maintenance Organization | 26834 Shoregrass Dr, Wesley Chapel, FL 33544 | 2016-02-04 |
| 1992187520 | Alexander Felipe Marrero-plasencia | Dentist | 1945 Noor Street, Apartment # 404, Wesley Chapel, FL 33544 | 2015-06-19 |
| Find all providers in zip 33544 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346299179 | Boyce N Berkel | General Practice | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1970 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33544 |
Please comment or provide details below to improve the information on ELIDES DOMINGUEZ.
| 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.