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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306038930 | NPPES |
| Alabama | Other | 30075 | STATE LICENSE |
| Alabama | Other | ME109643 | STATE LICENSE |
| Alabama | MEDICAID | 004197800 | STATE LICENSE |
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