person
Maxfelonilo A Domingo, MD
Cardiovascular Disease Physician in Crystal River, Florida
NPI 1235326984

Maxfelonilo A Domingo is a Cardiovascular Disease Physician based in Inverness, FL and is specialized in Cardiovascular Disease. Maxfelonilo A Domingo practices in Crystal River, FL and has the professional credentials of MD. The NPI Number for Maxfelonilo A Domingo is 1235326984 and holds a License No. ME0043605 (Florida).

The current practice location address for Maxfelonilo A Domingo is 760 Se 5Th Terrace, Crystal River, FL and can be reached out via phone at 352-795-4165 and via fax at 352-795-3659.

Location: 760 Se 5Th Terrace, Crystal River, FL, 34452-4716
person
Provider Profile Details
NPI Number
1235326984
Provider Name
Maxfelonilo A Domingo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
760 Se 5Th Terrace, Crystal River, FL, 34452-4716
Phone Number
352-795-4165
Fax Number
352-795-3659
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000755600 05 FL
11379665 01 FL CAQH
77940 01 FL MEDICARE GROUP ID
CF1416 01 FL MEDICARE RR GROUP
ME43605 01 FL STATE MEDICAL LICENSE
77940 01 FL BCBS OF FL GROUP ID
79947 01 FL BS OF FL
06004119 01 FL RAILROAD MEDICARE
269859500 01 FL MEDICAID GROUP
592123944 01 FL CIGNA
institution
Provider Business Practice Location Address Details
Address
760 Se 5Th Terrace
City
State
Zip
34429-4852
Phone Number
352-795-4165
Fax Number
352-795-3659
person
Provider Business Mailing Address Details
Address
760 Se 5Th Terrace
City
State
Zip
34429-4852
Phone Number
352-795-4165
Fax Number
352-795-3659
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
ME0043605 (Florida)
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.
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