FELIPE E. DOMINGUEZ, MD, PA


Address: 3030 Venture Lane, Ste 108, Melbourne, FL 32934
Phone: 3212535197

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory ME 48985 FL Laboratories

Office Location

Street Address 3030 VENTURE LANE
STE 108
City MELBOURNE
State FL
Zip Code 32934

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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City MELBOURNE
Zip Code 32934

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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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