Jose Carlos Dominguez Jr, MD | |
3645 Madaca Ln, Tampa, FL 33618-2048 | |
(813) 969-0116 | |
(813) 969-3794 |
Full Name | Jose Carlos Dominguez Jr |
---|---|
Gender | Male |
Speciality | Allergy & Immunology |
Location | 3645 Madaca Ln, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871554774 | NPI | - | NPPES |
059950600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | ME00555091 (Florida) | Primary |
Entity Name | Aaia Tampa Bay, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730198037 PECOS PAC ID: 2264493014 Enrollment ID: O20041025000536 |
Mailing Address | Practice Location Address |
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Jose Carlos Dominguez Jr, MD 3645 Madaca Ln, Tampa, FL 33618-2048 Ph: (813) 969-0116 | Jose Carlos Dominguez Jr, MD 3645 Madaca Ln, Tampa, FL 33618-2048 Ph: (813) 969-0116 |
Juan Carlos Cardet Guisasaola, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 13330 Usf Laurel Dr, Tampa, FL 33612 Phone: 813-974-2201 | |
Mark C Glaum, M.D., PH.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 13801 Bruce B Downs Blvd, Suite 502, Tampa, FL 33613 Phone: 813-971-9743 Fax: 813-558-9421 | |
Seong Ho Cho, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 13801 Bruce B Downs Blvd, Ste 502, Tampa, FL 33613 Phone: 813-971-9743 Fax: 813-558-9421 | |
Dr. Roberto Garcia, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 10940 Sheldon Rd, Tampa, FL 33626 Phone: 813-926-4058 Fax: 813-926-9872 | |
Thomas B. Casale, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 12901 Bruce B Downs Blvd, Mdc 19, Tampa, FL 33612 Phone: 813-974-8954 | |
Dr. Shahid Iqbal, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5516 Hanley Rd, Tampa, FL 33634 Phone: 813-876-0502 Fax: 813-872-6503 | |
Mark Ballow, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Stc 5th Floor, Tampa, FL 33606 Phone: 727-767-4150 Fax: 727-767-8532 |