Carlos Lorenzo Dominguez, MD | |
1857 Providence Blvd, Deltona, FL 32725-3811 | |
(386) 789-8544 | |
(321) 249-9432 |
Full Name | Carlos Lorenzo Dominguez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 1857 Providence Blvd, Deltona, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104864768 | NPI | - | NPPES |
252750200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0072352 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Adventhealth Fish Memorial | Orange city, FL | Hospital |
Entity Name | Carlos L Dominguez Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730452970 PECOS PAC ID: 4486814555 Enrollment ID: O20120327000767 |
Mailing Address | Practice Location Address |
---|---|
Carlos Lorenzo Dominguez, MD 4876 Red Brick Run, Sanford, FL 32771-7108 Ph: (386) 789-8544 | Carlos Lorenzo Dominguez, MD 1857 Providence Blvd, Deltona, FL 32725-3811 Ph: (386) 789-8544 |
Walter A Zavala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Deltona Blvd, Ste 101, Deltona, FL 32725 Phone: 386-574-6079 Fax: 386-574-6934 | |
Mrs. Sadrunnisa S Hameedi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 A Deltona Blvd, Deltona, FL 32725 Phone: 386-574-9034 Fax: 386-574-9095 | |
Hina Azmat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 770 Deltona Blvd, Suite A, Deltona, FL 32725 Phone: 386-259-9902 Fax: 407-218-8901 | |
Jessica Claire Malki, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1925 Providence Blvd, Deltona, FL 32725 Phone: 386-774-7262 | |
Dr. Ajay Maheshchandra Parikh, MD, MS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1670 Providence Blvd, Suite E, Deltona, FL 32725 Phone: 386-574-7122 | |
Jorge Luis Cambo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 E Halifax Crossing Blvd, Deltona, FL 32725 Phone: 386-425-6100 Fax: 386-425-6101 |