JENNIFER DOMINGUEZ (NPI# 1588036347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588036347 |
| Entity Type | Individual |
| Full Name | JENNIFER DOMINGUEZ |
| Credential | PA |
| Practice Address |
6811 Porto Fino Cir Fort Myers FL 33912-4354 |
| Practice Telephone | 2392251306 |
| Practice Fax Number | 2397681313 |
| Mailing Telephone | 2392251306 |
| Mailing Fax Number | 2397681313 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9109121 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285192138 | Jennifer Jane Dominguez | Social Worker | 1314 D St, Floresville, TX 78114-2316 | 2019-03-11 |
| 1689273179 | Jennifer Dominguez | Nurse's Aide | 70 S River St, Aurora, IL 60506-5185 | 2020-10-26 |
| 1972931335 | Jennifer Dominguez | Case Manager/Care Coordinator | 100 Prison Rd, Represa, CA 95671-0066 | 2013-10-23 |
| 1417229899 | Jennifer Dominguez | Counselor | 8407 S Vermont Ave, Los Angeles, CA 90044-3423 | 2012-02-01 |
| 1619268000 | Jennifer Marie Dominguez | Pharmacist | 232 Main St, Gardner, MA 01440-2927 | 2011-04-20 |
| 1487803490 | Jennifer Dominguez | Anesthesiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-09-15 |
| Street Address |
6811 PORTO FINO CIR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983218 | William Scott Wittenborn | Plastic Surgery | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2005-06-21 |
| 1306359617 | Precision Physical Medicine, LLC | Internal Medicine | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2017-11-08 |
| 1194251611 | Precision Pain Medical Center, LLC | Physical Medicine & Rehabilitation | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2017-05-03 |
| 1720525082 | James Bolger | Chiropractor | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2017-01-25 |
| 1235428947 | Christine Sanchez | Nurse Practitioner | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679981641 | Corbett Family Medical Center Plc | Physician Assistant | 4991 Royal Gulf Cir, Fort Myers, FL 33966-7006 | 2014-07-23 |
| 1437599438 | A&b Premier Medical Services | Physician Assistant | 10390 Washingtonia Palm Way Apt 4424, Fort Myers, FL 33966-7992 | 2013-07-05 |
| 1609118645 | Sunshine Mobile Medical Services, LLC | Physician Assistant | 2301 Harvard Ave, Fort Myers, FL 33907-4232 | 2013-03-16 |
| 1821272774 | Ashokkumar B Chaudhari | Physician Assistant | 6599 Plantation Preserve Cir N, Fort Myers, FL 33966-8366 | 2007-12-27 |
| 1982767745 | Elaine-maria Zafar | Physician Assistant | 8381 Riverwalk Park Blvd Ste 202, Fort Myers, FL 33919-8760 | 2006-12-19 |
| 1093707341 | Richard D Ornato | Physician Assistant | 9400 Gladiolus Dr, Suite 250, Fort Myers, FL 33908-6699 | 2005-08-22 |
| 1841841822 | Anisa Meghan Jallal | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-22 |
| 1275181265 | Rachel Michele Bautsch | Physician Assistant | 7335 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2019-09-03 |
| 1447758818 | William Floyd Meyer | Physician Assistant | 11300 Lindbergh Blvd Ste 110, Fort Myers, FL 33913 | 2018-01-31 |
| 1902325681 | Jason Anthony Moore | Physician Assistant | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2017-09-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on JENNIFER 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.