MS. NICOLE A. DOMENECH (NPI# 1518336825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518336825 |
| Entity Type | Individual |
| Full Name | MS. NICOLE A. DOMENECH |
| Credential | MD. |
| Practice Address |
950 First St. South Winter Haven FL 33880 |
| Mailing Address |
2600 S Douglas Rd Ste 308 Coral Gables FL 33134-6134 |
| Practice Telephone | 8632955604 |
| Practice Fax Number | 8632955398 |
| Mailing Telephone | 8636820843 |
| Mailing Fax Number | 8636873971 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 19178 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
950 FIRST ST. SOUTH |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| 1003248865 | Swift Home Health Care LLC | Home Health | 141 Ave A Se, Winter Haven, FL 33880 | 2013-08-05 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1609040229 | Lidzoe Correa- Mateo | General Practice | 7558 Cypress Gardens Blvd, Winter Haven, FL 33884-3200 | 2008-04-15 |
| 1811167505 | Eliud Arnaldo Deltoro Rivera | General Practice | 2791 Lake Alfred Rd, Winter Haven, FL 33881-1432 | 2008-03-10 |
| 1396871273 | Xiomara Quinones Vargas | General Practice | 2791 L:ake Alfred Rd, Winter Haven, FL 33881 | 2007-02-26 |
| 1205804259 | Amarilys Colon Tirado | General Practice | 199 Avenue K Se, Winter Haven, FL 33880-4002 | 2006-03-08 |
| 1851789192 | Anna Jose Elissenda Chanoine | General Practice | 700 1st St S, Winter Haven, FL 33880-3605 | 2015-01-08 |
| 1730417312 | Luis J. Rodriguez Colon | General Practice | 550 Pope Ave Nw, Winter Haven, FL 33881-4679 | 2009-11-19 |
| 1427289206 | Luisa M. Nieves Lopez | General Practice | 7558 Cypress Gardens Blvd, Winter Haven, FL 33884-3200 | 2009-07-28 |
| 1922168509 | Acupuncture & Oriental Medicine Inc | General Practice | 306 Avenue C Ne, Winter Haven, FL 33881-4558 | 2006-12-12 |
| 1497846182 | Liem That Ton | General Practice | 325 1st St N, Winter Haven, FL 33881-4111 | 2006-09-27 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on MS. NICOLE A. DOMENECH.
| 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.