Carlos L Dominguez (NPI# 1104864768, PAC ID# 5698861789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104864768 |
| PAC ID by PECOS | 5698861789 |
| Professional Enrollment ID | I20071031000035 |
| Full Name | Carlos L Dominguez |
| Address |
1857 Providence Blvd Deltona FL 32725-3811 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 1857 Providence Blvd, Deltona, FL 32725-3811 |
| Street Address |
1857 PROVIDENCE BLVD |
| City | DELTONA |
| State | FL |
| Zip | 32725-3811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suleyka Cortes | Chiropractic | Chi-rho Family Wellness Chiropractic LLC | 2820 Howland Blvd, Deltona, FL 32725-1606 |
| Maged Samaan | Family Medicine | 734 Elkam Blvd, Deltona, FL 32725-2626 | |
| Marilyn L Regis | Pediatric Medicine | Florida Department of Health | 3151 Howland Blvd, Deltona, FL 32725-2908 |
| Tammy K Kirby | Nurse Practitioner | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Willie Charles Bruce | Emergency Medicine | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Mariano Delamata | Internal Medicine | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Albert Mawad Michael | Emergency Medicine | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Jorge L. Cambo | Internal Medicine | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Jonathan Silverman | Emergency Medicine | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Nathan A Mekhaeil | Emergency Medicine | Halifax Healthcare Systems Inc | 3300 E Halifax Crossing Blvd, Deltona, FL 32725-2911 |
| Find all physicians in zip 32725 | |||
| City | DELTONA |
| Zip Code | 32725 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DELTONA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carlos L Dominguez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.