DR. DAVID E. DOMINGUEZ (NPI# 1467694521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467694521 |
| Entity Type | Individual |
| Full Name | DR. DAVID E. DOMINGUEZ |
| Credential | M.D. |
| Practice Address |
141 Coconut Dr Indialantic FL 32903-2607 |
| Practice Telephone | 3216108939 |
| Practice Fax Number | 3216228728 |
| Mailing Telephone | 3216108939 |
| Mailing Fax Number | 3216228728 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME110378 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME110378 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME110378 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003772300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935989 | David Dominguez | Dentist | 201 N Constitution Dr # 1, Aurora, IL 60506-3214 | 2017-07-23 |
| 1518923259 | David Y Dominguez | Pediatrics | 465 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8484 | 2006-04-21 |
| 1467953117 | David Dominguez | Behavior Technician | 25115 Avenue Stanford Ste 100, Valencia, CA 91355-4791 | 2018-02-27 |
| 1205257763 | David Dominguez | Physician Assistant | 4502 Medical Dr, San Antonio, TX 78229 | 2013-12-30 |
| 1356422521 | David Alan Dominguez | Physician Assistant | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | 2006-10-17 |
| 1649360512 | David C. Dominguez | Emergency Medicine | Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-10-13 |
| 1689772469 | David Anthony Dominguez | Nurse Practitioner | 814 Caroline Ave, Junction City, KS 66441-5210 | 2006-09-20 |
| 1780794917 | David Jaime Dominguez | Dentist | 17240 Mill Forest Rd, Ste A, Webster, TX 77598 | 2006-08-30 |
| 1366451122 | David Dominguez | Family Medicine | 1021 Silver Bluff Rd, Aiken, SC 29803 | 2006-08-07 |
| Street Address |
141 COCONUT DR |
| City | INDIALANTIC |
| State | FL |
| Zip Code | 32903-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016356 | Casey Robert Runte | Physician Assistant | 141 Coconut Dr, Indialantic, FL 32903-2607 | 2020-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891330940 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 700 N. Miramar Avenue, Indialantic, FL 32903 | 2019-11-13 |
| 1518511062 | Marco Italia | Physical Therapist | 1220 N Highway A1a Ste 117, Indialantic, FL 32903 | 2019-08-01 |
| 1043755036 | Mary Parker | Behavior Technician | 290 Paradise Blvd Apt 17, Indialantic, FL 32903 | 2016-12-29 |
| 1083918908 | William G. Devanney | Pharmacist | 700 North Miramar Ave, Indialantic, FL 32903 | 2011-01-06 |
| 1982868907 | Jennifer Uhl Scott | Contractor | 122 4th Ave Ste 200, Indialantic, FL 32903 | 2008-07-18 |
| 1376712158 | Centre for Family Medicine | Family Medicine | 241 6th Ave, Indialantic, FL 32903 | 2008-02-26 |
| 1437364650 | Indialantic Chiropractic & Acupuncture Inc | Chiropractor | 322 Fourth Avenue, Indialantic, FL 32903 | 2007-05-11 |
| 1205950730 | Keith Barry Smith | Technician/Technologist | 880 N Miramar Ave, Indialantic, FL 32903 | 2007-03-19 |
| 1689716300 | Jeri Lynn Andrews-judge | Specialist | 720 N Miramar Avenue, Indialantic, FL 32903 | 2007-02-12 |
| 1376633750 | Colleen Cook Tobia | Pharmacist | 2200 North Highway A1a, Walgreens, Melbourne, FL 32903 | 2006-10-13 |
| Find all providers in zip 32903 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316351372 | 3d Sports Medicine & Joint Center, Inc. | Orthopaedic Surgery | 141 Cocounut Dr, Indialantic, FL 32903-2607 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
| 1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
| 1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
| 1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
| 1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
| 1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
| 1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
| 1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
| 1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| Find all providers with the same taxonomy | ||||
| City | INDIALANTIC |
| Zip Code | 32903 |
Please comment or provide details below to improve the information on DR. DAVID E. 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.