Dominguez, Roberto V

Dominguez, Roberto V is an individual health care provider with primary practice located at 2914 N Boulevard , Tampa FL 33602-1208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Dominguez, Roberto V can be contacted via phone (813) 228-7696.

Contact Information

Primary practice address
2914 N Boulevard Tampa FL 33602-1208
Phone: (813) 228-7696
Fax: (813) 228-0677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME0070106 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME0070106 Florida

Profile Details

NPI number 1659337731
LBN Legal business name Dominguez, Roberto V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 28th, 2011 - about 15 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 1659337731 NPPES
Florida MEDICAID 2513081-00
Florida Other 2755877
Florida Other B217748
Florida Other 2305989
Florida Other 32985
Florida Other 4333872005

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