Domescek, Ronald Richard

Domescek, Ronald Richard is an sole proprietor health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Domescek, Ronald Richard can be contacted via phone (407) 650-1300.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Phone: (407) 650-1300
Fax: (407) 650-1307
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME57239 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME57239 Florida

Profile Details

NPI number 1013912948
LBN Legal business name Domescek, Ronald Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Nov 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013912948 NPPES
Florida MEDICAID 063394100
Florida Other ME57239

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