Domingo, Juan

Domingo, Juan is an sole proprietor health care provider with primary practice located at 900 Sw Pine Island Rd Unit 208, Cape Coral FL 33991-1979. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Domingo, Juan can be contacted via phone (239) 673-9861.

Contact Information

Primary practice address
900 Sw Pine Island Rd Unit 208 Cape Coral FL 33991-1979
Phone: (239) 673-9861
Fax: (239) 673-9886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME52059 Florida

Profile Details

NPI number 1851393946
LBN Legal business name Domingo, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2005
Last updated Mar 20th, 2009 - about 17 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 1851393946 NPPES
Florida Other 4909698 CIGNA
Florida Other 5194010 CIGNA
Florida MEDICAID 048503900 CIGNA
Florida Other 0405271 CIGNA
Florida Other 07319 CIGNA

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