Maxfelonilo A Domingo in Crystal River - Cardiovascular Disease
Maxfelonilo A Domingo - NPI 1235326984
Maxfelonilo A Domingo is a Cardiovascular Disease in Crystal River, Florida. Maxfelonilo A Domingo practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Maxfelonilo A Domingo is 1235326984. The last update date is 2009-10-08.
Maxfelonilo A Domingo's current location address is 760 Se 5th Terrace, Crystal River, Florida. You can contact this provider via phone number 3527954165 and fax number 3527953659. The mailing address for Maxfelonilo A Domingo is 760 Se 5th Terrace, Crystal River, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maxfelonilo A Domingo |
|---|---|
| Address | 760 Se 5th Terrace, Crystal River, Florida |
| Phone Number | 3527954165 |
| Fax Number | 3527953659 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235326984 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2009-10-08 |
Provider Mailing Address Detail
| Address | 760 Se 5th Terrace |
|---|---|
| City | Crystal River |
| State | Florida (FL) |
| Post Code | 344294852 |
| Phone Number | 3527954165 |
| Fax Number | 3527953659 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | ME0043605 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 755600 | FL | -- | |
| 11379665 | FL | CAQH | |
| 77940 | FL | MEDICARE GROUP ID | |
| CF1416 | FL | MEDICARE RR GROUP | |
| ME43605 | FL | STATE MEDICAL LICENSE | |
| 77940 | FL | BCBS OF FL GROUP ID | |
| 79947 | FL | BS OF FL | |
| 6004119 | FL | RAILROAD MEDICARE | |
| 269859500 | FL | MEDICAID GROUP | |
| 592123944 | FL | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Maxfelonilo A Domingo by the Centers for Medicare & Medicaid Services?
The Maxfelonilo A Domingo has been issued the NPI (National Provider Identifier) 1235326984 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Maxfelonilo A Domingo's physical address?
The Maxfelonilo A Domingo is physically located at 760 Se 5Th Terrace, in the city of Crystal River, FL, with the postal code 344294852.
What is Maxfelonilo A Domingo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Maxfelonilo A Domingo is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235326984 to Maxfelonilo A Domingo?
The Centers for Medicare & Medicaid Services assigned the 1235326984 to Maxfelonilo A Domingo on 2007-09-26.
When was the information regarding Maxfelonilo A Domingo most recently updated?
The details pertaining to the Maxfelonilo A Domingo, including its address, specialty, and other relevant information, were last refreshed on 2009-10-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN