JOSE C DOMINGUEZ SR. (NPI# 1023046653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023046653 |
Entity Type | Individual |
Full Name | JOSE C DOMINGUEZ SR. |
Credential | M.D. |
Practice Address |
4600 N Habana Ave Ste. 20 Tampa FL 33614-7166 |
Practice Telephone | 8138779449 |
Practice Fax Number | 8138779502 |
Mailing Telephone | 8138779449 |
Mailing Fax Number | 8138779502 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2008-05-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | ME12573 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 043180000 | 05 | |
FL | BLUE CROSS BLUE SHIELD | 29519 | 01 |
ALL OTHER INSURANCES | 591217490 | 01 | |
AETNA | 622442 | 01 | |
FL | FOUNDATION HEALTH | 34607 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295835775 | Jose Luis Dominguez | Internal Medicine | 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 | 2006-09-24 |
1871554774 | Jose Carlos Dominguez Jr. | Allergy & Immunology | 3645 Madaca Ln, Tampa, FL 33618-2048 | 2006-03-30 |
1629614862 | Jose A Dominguez | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-22 |
1316503733 | Jose Dominguez | Behavior Technician | 6770 N West Ave Ste 105, Fresno, CA 93711-1399 | 2019-05-10 |
1770010431 | Jose Fernando Dominguez | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2017-05-12 |
1235424573 | Jose Dominguez | Behavioral Analyst | 3691 Nw 124th Ave, Coral Springs, FL 33065-2409 | 2011-06-15 |
1609173764 | Jose Ramon Dominguez | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-24 |
1992838304 | Jose Dumergue Dominguez | Dentist | 3 Sw 129th Ave, Suite 210, Pembroke Pines, FL 33027-1775 | 2007-03-14 |
1861583312 | Jose A Dominguez | Physical Therapist | 6375 Mercury Drive, Suite 100, Mechanicsburg, PA 17050 | 2006-09-28 |
1295773927 | Jose M Dominguez | Surgery | 1001 E Primrose St, Springfield, MO 65807-5155 | 2006-06-03 |
Street Address |
4600 N HABANA AVE STE. 20 |
City | TAMPA |
State | FL |
Zip Code | 33614-7166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578559753 | Leopoldo Grauer Md Pa | Internal Medicine | 4600 N Habana Ave, Ste 29, Tampa, FL 33614-7166 | 2005-09-23 |
1053701359 | Luis E. Kortright M.d. | Orthopaedic Surgery | 4600 N Habana Ave, Suite # 6, Tampa, FL 33614-7112 | 2015-01-26 |
1780922997 | Ruben J Perez-ramos | Internal Medicine | 4600 N Habana Ave, # 27, Tampa, FL 33614-7112 | 2013-01-23 |
1922342906 | Md and Wellness Center Inc | Clinic/Center | 4600 N Habana Ave, Suite 12, Tampa, FL 33614-7112 | 2012-11-15 |
1811275720 | Ramon Hugo Sanchez, M.d., Pa | Independent Medical Examiner | 4600 N Habana Ave, Suite 32, Tampa, FL 33614-7112 | 2011-07-26 |
1619268026 | Genesis Physicians Group LLC | Internal Medicine | 4600 N Habana Ave, #27, Tampa, FL 33614-7112 | 2011-04-20 |
1285930123 | Peggy Lynn Wallace | Nurse Practitioner | 4600 N Habana Ave, Suite 15, Tampa, FL 33614-7112 | 2011-02-09 |
1164728630 | G. E. Vega, M. D., P. A. | Specialist | 4600 N Habana Ave, Suite 33, Tampa, FL 33614-7112 | 2011-02-01 |
1174828313 | Dr Anthony A Fernandez Md Pa | Clinic/Center | 4600 N Habana Ave, Ste 16, Tampa, FL 33614-7112 | 2011-01-19 |
1114231347 | Joseph G Sinkovics Md Pa | Clinic/Center | 4600 N Habana Ave, Suite 9, Tampa, FL 33614-7112 | 2010-07-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
Find all providers in zip 33614 |
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. |
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1023412319 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2700 W Martin Luther King Jr Blvd, Suite 250, Tampa, FL 33607-6383 | 2014-10-15 |
1700206000 | Diane Murray | Specialist | 13803 N Florida Ave, Tampa, FL 33613-3230 | 2014-04-24 |
1043652357 | Christina Maria Potter | Specialist | 97 Davis Blvd, Unit B, Tampa, FL 33606-4404 | 2013-07-28 |
1063851384 | Julia Ruth Undella | Specialist | 7402 Park Dr, Tampa, FL 33610-1060 | 2013-06-19 |
1043658545 | Roshni Patel | Specialist | 13441 Canopy Creek Dr, Tampa, FL 33625-5915 | 2013-06-06 |
1417293457 | Chambers Medical Group | Specialist | 1802 E Busch Blvd, Tampa, FL 33612-8664 | 2012-12-19 |
1205188430 | Shea Speights | Specialist | 103 W Hamilton Ave, Tampa, FL 33604-5420 | 2012-10-11 |
1700158847 | Tracy Lashun Williams | Specialist | 18110 Palm Beach Drive, Tampa, FL 33647 | 2012-02-06 |
Find all providers in TAMPA |
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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.