Patrick W Domkowski in Sebastian - Surgery

Patrick W Domkowski - NPI 1366423022

Patrick W Domkowski is a Surgery in Sebastian, Florida. Patrick W Domkowski practices all healthcare services and medical treatments related to Surgery. The NPI Number for Patrick W Domkowski is 1366423022. The last update date is 2014-01-10.

Patrick W Domkowski's current location address is 14430 Us Highway 1, Sebastian, Florida. You can contact this provider via phone number 7725818003 and fax number 7725818005. The mailing address for Patrick W Domkowski is 14430 Us Highway 1, Sebastian, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick W Domkowski
Address 14430 Us Highway 1, Sebastian, Florida
Phone Number 7725818003
Fax Number 7725818005
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1366423022
Provider Enumeration Date 2005-11-09
Last Updated Date 2014-01-10

Provider Mailing Address Detail

Address 14430 Us Highway 1
City Sebastian
State Florida (FL)
Post Code 329583237
Phone Number 7725818003
Fax Number 7725818005

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No ME89469
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
269280500 FL --
3456730 FL AETNA
7801535 FL AETNA
239538 FL WELLCARE
37840 FL BLUE CROSS BLUE SHIELD
6039513001 FL CIGNA
P00217825 FL RAILROAD MEDICARE

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FAQs about Patrick W Domkowski

What is the unique identifier code issued to Patrick W Domkowski by the Centers for Medicare & Medicaid Services (CMS)?

The Patrick W Domkowski has been assigned the NPI (National Provider Identifier) 1366423022. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Patrick W Domkowski?

The Patrick W Domkowski is situated at 14430 Us Highway 1, in the city of Sebastian, state of FL, with the zip code 329583237.

What is Patrick W Domkowski's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patrick W Domkowski's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1366423022 to Patrick W Domkowski?

The Patrick W Domkowski received its 1366423022 assignment from the Centers for Medicare & Medicaid Services on 2005-11-09.

As of what date were the details related to Patrick W Domkowski most recently updated or revised?

The information pertaining to Patrick W Domkowski, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-10.

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