JOSE CARLOS DOMINGUEZ JR. (NPI# 1871554774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871554774 |
| Entity Type | Individual |
| Full Name | JOSE CARLOS DOMINGUEZ JR. |
| Credential | MD |
| Practice Address |
3645 Madaca Ln Tampa FL 33618-2048 |
| Practice Telephone | 8139690116 |
| Practice Fax Number | 8139693794 |
| Mailing Telephone | 8139690116 |
| Mailing Fax Number | 8139693794 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2011-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | ME00555091 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 059950600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295835775 | Jose Luis Dominguez | Internal Medicine | 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 | 2006-09-24 |
| 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 |
| 1023046653 | Jose C Dominguez Sr. | Specialist | 4600 N Habana Ave, Ste. 20, Tampa, FL 33614-7166 | 2006-06-30 |
| 1295773927 | Jose M Dominguez | Surgery | 1001 E Primrose St, Springfield, MO 65807-5155 | 2006-06-03 |
| Street Address |
3645 MADACA LN |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891037446 | Fatima E Khan | Allergy & Immunology | 3645 Madaca Ln, Tampa, FL 33618-2048 | 2013-03-21 |
| 1760631741 | Ammar Hatab | Allergy & Immunology | 3645 Madaca Ln, Tampa, FL 33618-2048 | 2008-09-15 |
| 1801098413 | Jose C. Dominguez Jr., M.d., P.a. | Pharmacy | 3645 Madaca Ln, Tampa, FL 33618-2048 | 2007-06-05 |
| 1730198037 | Jose C. Dominguez Jr., M.d., P.a. | Allergy & Immunology | 3645 Madaca Ln, Tampa, FL 33618-2048 | 2006-08-05 |
| 1578500070 | Sandra Jocelyn Downes | Allergy & Immunology | 3645 Madaca Ln, Tampa, FL 33618-2048 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013259407 | Amber Nardandrea Pepper | Allergy & Immunology | 13801 Bruce B Downs Blvd Ste 502, Tampa, FL 33613-3923 | 2013-03-23 |
| 1740577378 | Adeeb Ahmad Bulkhi | Allergy & Immunology | 13000 Bruce B Downs Blvd # 111d, Tampa, FL 33612-4745 | 2011-07-04 |
| 1255639886 | Richard Lawrence Siegel, M.d., P.a. | Allergy & Immunology | 3450 East Fletcher Avenue, Suite 210, Tampa, FL 33613-4655 | 2011-03-07 |
| 1104071570 | Family Allergy and Asthma Center Pa | Allergy & Immunology | 6537 Gunn Hwy, Tampa, FL 33625-4021 | 2008-11-25 |
| 1366698250 | Liana Marie Kramer | Allergy & Immunology | 4914 N Armenia Ave, Tampa, FL 33603-1402 | 2008-08-12 |
| 1588829337 | Nauman Salim | Allergy & Immunology | 13692 W Hillsborough Ave, Tampa, FL 33635-9638 | 2008-07-22 |
| 1619165743 | Maliena Michi Longley | Allergy & Immunology | 1918 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6510 | 2007-10-15 |
| 1174534473 | Shahid Iqbal | Allergy & Immunology | 5516 Hanley Rd, Tampa, FL 33634-4904 | 2006-08-11 |
| 1770518938 | Richard Lawrence Siegel | Allergy & Immunology | 17407 Bridge Hill Ct Ste B, Tampa, FL 33647-3522 | 2006-07-12 |
| 1104850692 | Roberto Garcia | Allergy & Immunology | 10940 Sheldon Rd, Tampa, FL 33626 | 2006-07-10 |
| 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.