| Juan C. Domingo, M.d.,p.a. | |
|
900 Sw Pine Island Road Unit 208 Cape Coral FL 33991-0000 | |
| (239) 673-9861 | |
| (239) 673-9886 |
| Full Name | Juan C. Domingo, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Sw Pine Island Road, Cape Coral, Florida |
| Authorized Official Name and Position | Juan Carlos Domingo (CEO) |
| Authorized Official Contact | 2396739861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan C. Domingo, M.d.,p.a. 900 Sw Pine Island Road Unit 208 Cape Coral FL 33991-0000 Ph: (239) 673-9861 | Juan C. Domingo, M.d.,p.a. 900 Sw Pine Island Road Unit 208 Cape Coral FL 33991-0000 Ph: (239) 673-9861 |
| NPI Number | 1669613998 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669613998 | NPI | - | NPPES |
| 0405271 | Other | FL | UNITED HEALTHCARE |
| 046503900 | Medicaid | FL | |
| 07319 | Other | FL | BC/BS |
| 5194010 | Other | FL | AETNA |
| 4909698 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME52059 (Florida) | Primary |
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