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Dominic Nicacio
Emergency Medicine Physician in Charlotte, North Carolina
NPI 1659908622

Dominic Nicacio is a Emergency Medicine Physician based in Shoreline, NC. Dominic Nicacio practices in Charlotte, NC. The NPI Number for Dominic Nicacio is 1659908622 and holds a License No. (North Carolina).

The current practice location address for Dominic Nicacio is 1000 Blythe Blvd, Charlotte, NC and can be reached out via phone at 704-355-3181 and via fax at 704-355-7047.

Location: 1000 Blythe Blvd, Charlotte, NC, 98155-7050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659908622
Provider Name
Dominic Nicacio
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 Blythe Blvd, Charlotte, NC, 98155-7050
Phone Number
704-355-3181
Fax Number
704-355-7047
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-3181
Fax Number
704-355-7047
person
Provider Business Mailing Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-3181
Fax Number
704-355-7047
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD61405669 (Washington)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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