FELIPE E. DOMINGUEZ, MD, PA (NPI# 1871874974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871874974 |
Entity Type | Organization |
Organization Name | FELIPE E. DOMINGUEZ, MD, PA |
Practice Address |
3030 Venture Lane Ste 108 Melbourne FL 32934 |
Mailing Address |
14040 Us Highway 1 Sebastian FL 32958 |
Practice Telephone | 3212535197 |
Practice Fax Number | 3212535199 |
Mailing Telephone | 7725810890 |
Mailing Fax Number | 7725810591 |
Enumeration Date | 2011-09-01 |
Last Update Date | 2014-12-18 |
Authorized Official Name | FELIPE E DOMINGUEZ (PRESIDENT) |
Authorized Official Telephone | 3217951321 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | ME 48985 | FL | Laboratories |
Street Address |
3030 VENTURE LANE STE 108 |
City | MELBOURNE |
State | FL |
Zip Code | 32934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
1447281282 | Charles Lee Harney | Audiologist | 3134 Lake Washington Rd, Melbourne, FL 32934 | 2006-07-06 |
Find all providers in zip 32934 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255451712 | Felipe Emilio Dominguez | Clinical Medical Laboratory | 3030 Venture Ln, Ste. 108, Melbourne, FL 32934-8172 | 2007-03-29 |
1043386196 | Medical Associates of Brevard Lab LLC | Clinical Medical Laboratory | 2290 West Eau Gallie Blvd, Suite 108 Medical Associates of Brevard Lab LLC, Melbourne, FL 32935 | 2006-11-28 |
1972694073 | Atlantic Pathology Group, Pa | Clinical Medical Laboratory | 1335 Valentine St, Melbourne, FL 32901-3127 | 2006-09-27 |
1417062076 | Florida Clinical Laboratory, Inc | Clinical Medical Laboratory | 27 E Hibiscus Blvd Ste C, Melbourne, FL 32901-3171 | 2006-08-21 |
1386615730 | Florida Clinical Lab,inc | Clinical Medical Laboratory | 27 E Hibiscus Blvd, Melbourne, FL 32901-3171 | 2006-02-01 |
1831698851 | Economy Laboratory LLC | Clinical Medical Laboratory | 466 N Harbor City Blvd, Melbourne, FL 32935 | 2018-02-05 |
1013353200 | Melbourne Medical Laboratory LLC | Clinical Medical Laboratory | 95 Bulldog Blvd, Suite 103, Melbourne, FL 32901-3332 | 2013-05-15 |
1023362654 | Qm Labs, Inc. | Clinical Medical Laboratory | 115 Hickory St, Suite 104, Melbourne, FL 32904-3505 | 2012-11-05 |
1700183506 | Space Coast Pathologists Pa | Clinical Medical Laboratory | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-02-15 |
1255593877 | Alpha Medical Pa | Clinical Medical Laboratory | 20 E Melbourne Ave, #104, Melbourne, FL 32901-5970 | 2008-06-25 |
Find all providers in MELBOURNE |
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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.