Marino, Dominic

Marino, Dominic is an individual health care provider with primary practice located at 1865 Lpga Blvd , Daytona Beach FL 32117-7108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Marino, Dominic can be contacted via phone (386) 255-4596.

Contact Information

Primary practice address
1865 Lpga Blvd Daytona Beach FL 32117-7108
Phone: (386) 255-4596
Fax: (386) 258-3561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OS18633 Florida

Profile Details

NPI number 1225577703
LBN Legal business name Marino, Dominic
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2017
Last updated Nov 11th, 2024 - about 2 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 1225577703 NPPES
Florida MEDICAID 114003100

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