Mesidor, Dominique

Mesidor, Dominique is an sole proprietor health care provider with primary practice located at 2010 59Th St W Suite 2200, Bradenton FL 34209-4616. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Mesidor, Dominique can be contacted via phone (941) 794-5621.

Contact Information

Primary practice address
2010 59Th St W Suite 2200 Bradenton FL 34209-4616
Phone: (941) 794-5621
Fax: (941) 761-1532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME0086398 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 044539 Georgia

Profile Details

NPI number 1033205091
LBN Legal business name Mesidor, Dominique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Nov 1st, 2017 - about 9 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 1033205091 NPPES
Florida Other U1254X MEDICARE
Florida MEDICAID 267667200 MEDICARE

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