DOMAHN, INC (NPI# 1982858049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982858049 |
| Entity Type | Organization |
| Organization Name | DOMAHN, INC |
| Practice Address |
3109 Tamiami Trl Port Charlotte FL 33952-8046 |
| Practice Telephone | 9412351500 |
| Practice Fax Number | 9412351508 |
| Mailing Telephone | 9412351500 |
| Mailing Fax Number | 9412351508 |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2008-11-15 |
| Authorized Official Name | MR. MITHO LAROSE AMILCAR (ADMINSTRATOR) |
| Authorized Official Telephone | 9412351500 |
| Authorized Official Credential | PRESIDENT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA34283 | FL | Other Service Providers |
| Street Address |
3109 TAMIAMI TRL |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-8046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089354 | Anjan K Ghosh | Anesthesiology | 3109 Tamiami Trl, Suite 3, Port Charlotte, FL 33952-8046 | 2006-03-29 |
| 1992038426 | John A Hubicki | Physician Assistant | 3109 Tamiami Trl, Suite 3, Port Charlotte, FL 33952-8046 | 2009-09-16 |
| 1275797714 | Charlotte Pain Management Center Inc | Clinic/Center | 3109 Tamiami Trl, Unit 3, Port Charlotte, FL 33952-8046 | 2008-07-14 |
| 1932389764 | Charlotte Pain Clinic Incorporated | Pain Medicine | 3109 Tamiami Trl, Unit 3, Port Charlotte, FL 33952-8046 | 2007-11-08 |
| 1407901796 | Charlotte Pain Center Inc | Pain Medicine | 3109 Tamiami Trl, Unit 3, Port Charlotte, FL 33952-8046 | 2007-01-24 |
| 1053412924 | Harold Edward Sleight II | Anesthesiology | 3109 Tamiami Trl, Unit 3, Port Charlotte, FL 33952-8046 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437339397 | Nash Cataract & Laser Institute P A | Specialist | 18401 Murdock Cir, Suite A, Port Charlotte, FL 33948-1088 | 2007-11-08 |
| 1831269752 | Louis Kevin Valente | Specialist | 19621 Cochran Blvd, Unit #1, Port Charlotte, FL 33948 | 2006-11-08 |
| 1891870465 | Ali Asghar Azima | Specialist | 21178 Olean Blvd, Suite C, Port Charlotte, FL 33952-6728 | 2006-10-25 |
| 1558441550 | Charlotte Heart and Vascular Institute Pa | Specialist | 3340 Tamiami Trail, Port Charlotte, FL 33952-8088 | 2006-10-16 |
| 1538186127 | John J Janick | Specialist | 1649 Tamiami Trl Unit 1c, Port Charlotte, FL 33948-1019 | 2006-07-17 |
| 1558303966 | Issa F Baroudi | Specialist | 3222 Tamiami Trl, Port Charlotte, FL 33952-8048 | 2006-06-11 |
| 1376592147 | Sherry M Karnavas | Specialist | 2866 Tamiami Trl Ste A, Port Charlotte, FL 33952-5165 | 2006-05-09 |
| 1982678306 | Stephen E Chiarello | Specialist | 3280 Tamiami Trl, Suite 20, Port Charlotte, FL 33952-8053 | 2006-02-14 |
| 1851645626 | Hetal M Patel | Specialist | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2012-11-01 |
| 1700146800 | Orlando A Doria | Specialist | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 | 2012-05-22 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.