Mastroianni, Dominick

Mastroianni, Dominick is an individual health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Mastroianni, Dominick can be contacted via phone (321) 841-1893.

Contact Information

Primary practice address
1400 S Orange Ave Orlando FL 32806-2134
Phone: (321) 841-1893
Fax: (321) 841-1757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME109643 Florida

Profile Details

NPI number 1306038930
LBN Legal business name Mastroianni, Dominick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Nov 17th, 2023 - about 3 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 1306038930 NPPES
Alabama Other 30075 STATE LICENSE
Alabama Other ME109643 STATE LICENSE
Alabama MEDICAID 004197800 STATE LICENSE

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