DR. DOMENIC MARINI


Address: 19 Old Kings Rd N, Suite C-106, Palm Coast, FL 32137-8260
Phone: 3864466540

DR. DOMENIC MARINI (NPI# 1184688251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184688251
Entity Type Individual
Full Name DR. DOMENIC MARINI
Credential M.D.
Practice Address 19 Old Kings Rd N
Suite C-106
Palm Coast
FL 32137-8260
Practice Telephone 3864466540
Practice Fax Number 3864477732
Mailing Telephone 3864466540
Mailing Fax Number 3864477732
Enumeration Date 2006-04-14
Last Update Date 2008-12-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist ME80454 FL Other Service Providers
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
ME80454 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE GROUP NUMBER AX630 01
FL BLUE CROSS BLUE SHIELD 17609 01

Office Location

Street Address 19 OLD KINGS RD N
SUITE C-106
City PALM COAST
State FL
Zip Code 32137-8260

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134340615 Atlantic Urological Associates P A Urology 19 Old Kings Rd N, Suite C101, Palm Coast, FL 32137-8260 2007-05-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922617505 Palm Coast Alf Management LLC Assisted Living Facility 3830 Old Kings Road, Palm Coast, FL 32137 2020-07-29
1093324964 Akilah Collins Behavior Technician 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 2020-07-27
1750929477 Jeanette Ann Stevens Technician 1 Lema Place, Palm Coast, FL 32137 2019-12-12
1649816919 Patrick Meyer Occupational Therapy Assistant 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 2019-11-21
1689230385 Coastal Care Medical Transport Non-emergency Medical Transport (VAN) #2b, 1 Hargrove Grde, Palm Coast, FL 32137 2019-05-17
1407357437 Palm Coast Counseling, LLC Counselor 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 2018-02-25
1679081459 Lance J Langston Behavior Technician 2 Crosstie Ct, Palm Coast, FL 32137 2018-01-16
1407360712 Hanna Mercedes Brown Behavior Technician 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 2017-11-22
1760994511 Sophia's Choice Hands That Help, LLC Custodial Care Facility 119 Bud Hollow Dr, Palm Coast, FL 32137 2017-11-02
1922543255 Megan Katherine Dickerson Physical Therapist 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 2016-12-22
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679590178 Robert Christopher Bianco Internal Medicine 14 Office Park Drive, Suite 1, Palm Coast, FL 32137 2006-07-17
1669710141 Florida Heart & Vascular Care, Pllc Internal Medicine 120 Cypress Edge Dr, Suite 203, Palm Coast, FL 32164-8453 2013-01-18
1932373479 Amit Nanavati Internal Medicine 61 Memorial Medical Pkwy, Suite 1-800b, Palm Coast, FL 32164-5981 2008-04-16
1447446695 The Heart Center LLC Internal Medicine 61 Memorial Medical Pkwy, Suite 3816, Palm Coast, FL 32164-5981 2007-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861004277 Steve Malosky Md LLC Internal Medicine 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 2020-08-18
1881212744 North Broward Hospital District Internal Medicine 817 S University Dr Ste 104, Plantation, FL 33324-3345 2020-07-08
1821612821 Satish Sivasankaran Md Pa Internal Medicine 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 2020-06-04
1699317933 Abid A Shah Md LLC Internal Medicine 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 2019-10-08
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1205329620 Central Florida Cardiovascular Imaging Center, LLC Internal Medicine 1717 Mayo Dr, Tavares, FL 32778-4307 2018-06-11
1568953511 Orlando Lopez-fernandez Jr. Internal Medicine 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 2018-05-25
1467959668 Cardiology Practice Pa Internal Medicine 5051 Ashington Landing Dr, Tampa, FL 33647-3515 2018-04-12
1619476785 Synergy Health Group LLC Internal Medicine 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 2018-02-05
1114425477 Cardiac Cin of Miami LLC Internal Medicine 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 2018-01-31
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Competitor

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City PALM COAST
Zip Code 32137

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Dataset Information

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.

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