| Alexis Roman Fleites Dominguez, MD | |
|
3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950-7925 | |
| (941) 564-7160 | |
| Not Available |
| Full Name | Alexis Roman Fleites Dominguez |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3941 Tamiami Trl Unit 3175, Punta Gorda, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295502300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1636 (Florida) | Primary |
| Entity Name | American Care Of South Florida, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477754539 PECOS PAC ID: 9032354402 Enrollment ID: O20130408000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Roman Fleites Dominguez, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439 | Alexis Roman Fleites Dominguez, MD 3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950-7925 Ph: (941) 564-7160 |
Kiersta Borrego, DO General Practice Medicare: Medicare Enrolled Practice Location: 315 E Olympia Ave Unit 111, Punta Gorda, FL 33950 Phone: 941-639-1640 Fax: 941-637-9808 | |
Dr. Luis Ariel Ortiz, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3941 Tamiami Trl Unit 3175, Punta Gorda, FL 33950 Phone: 941-564-7160 Fax: 844-388-6186 |