Elides Dominguez, CACII is a
General Practice physician based in Wesley Chapel, Florida. Elides Dominguez is licensed to practice in Florida (license number ACN1111) and her current practice location is 2607 Windguard Cir Ste 102, Wesley Chapel, Florida. She can be reached at her office (for appointments etc.) via phone at
(813) 907-6767.
NPI number for Elides Dominguez is 1124475835 and her current mailing address is 5626 Curry Ford Rd, Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124475835.
Physician's Profile
Full Name | Elides Dominguez |
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Gender | Female |
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Speciality | General Practice |
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Location | 2607 Windguard Cir Ste 102, Wesley Chapel, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124475835
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 08/11/2022
Medical Identifiers
Medical identifiers for Elides Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124475835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | ACN1111 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elides Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elides Dominguez, CACII 5626 Curry Ford Rd, Orlando, FL 32822-1424 Ph: (407) 985-5677 | Elides Dominguez, CACII 2607 Windguard Cir Ste 102, Wesley Chapel, FL 33544-7352 Ph: (813) 907-6767 |
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