Jose Antolin Dominguez in Jacksonville - Orthopedic
Jose Antolin Dominguez - NPI 1053385559
Jose Antolin Dominguez is a Orthopedic in Jacksonville, Florida. Jose Antolin Dominguez practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jose Antolin Dominguez is 1053385559. The last update date is 2007-07-08.
Jose Antolin Dominguez's current location address is 2080 Child St, Jacksonville, Florida. You can contact this provider via phone number 9045427375. The mailing address for Jose Antolin Dominguez is 2080 Child St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Antolin Dominguez |
|---|---|
| Address | 2080 Child St, Jacksonville, Florida |
| Phone Number | 9045427375 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PT, OCS |
NPI Number Detail
| NPI Number | 1053385559 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2080 Child St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322145005 |
| Phone Number | 9045427375 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 20055 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identifier code issued to Jose Antolin Dominguez by the Centers for Medicare & Medicaid Services?
The Jose Antolin Dominguez has been assigned the NPI (National Provider Identifier) 1053385559. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jose Antolin Dominguez is located?
The Jose Antolin Dominguez is situated at the following address: 2080 Child St, Jacksonville, FL, 322145005.
What is the Jose Antolin Dominguez's specialty and taxonomy code?
The Jose Antolin Dominguez's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
On what date did the Jose Antolin Dominguez receive the assignment of its 1053385559 from the Centers for Medicare & Medicaid Services?
The Jose Antolin Dominguez was issued its 1053385559 by the Centers for Medicare & Medicaid Services on 2006-02-14.
When was the information pertaining to Jose Antolin Dominguez most recently updated or revised?
The details related to Jose Antolin Dominguez, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.