| Carmen Leticia Dominguez, MD | |
|
320 North Clyde Morris Blvd, Daytona Beach, FL 32114-2733 | |
| (386) 238-3226 | |
| (386) 238-3260 |
| Full Name | Carmen Leticia Dominguez |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 320 North Clyde Morris Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396775334 | NPI | - | NPPES |
| 1396775334 | Other | FL | TRICARE |
| P01061992 | Other | FL | RAILROAD |
| 01076 | Other | FL | BCBS |
| 278835700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 25MA07822000 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Health Care Plan Inc | 9436201233 | 82 |
| Entity Name | Florida Health Care Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558302042 PECOS PAC ID: 9436201233 Enrollment ID: O20090708000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Leticia Dominguez, MD P.o. Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130 | Carmen Leticia Dominguez, MD 320 North Clyde Morris Blvd, Daytona Beach, FL 32114-2733 Ph: (386) 238-3226 |
Diane F Lapham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1980 Lpga Blvd, Suite 210, Daytona Beach, FL 32117 Phone: 386-274-1744 Fax: 386-274-1644 | |
Sharif Al-ruzzeh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-6000 | |
Dr. Linda W. Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
David Schultz, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 386-255-8520 | |
Daniela Holloway, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 385-255-8520 | |
Dr. Allen Edward Coleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-231-3147 Fax: 386-231-3695 | |
Richard Lipton, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 311 N Clyde Morris Blvd, Suite 350, Daytona Beach, FL 32114 Phone: 386-255-1266 Fax: 386-255-8520 |