Edna Domino, APRN is a
Nurse Practitioner physician based in Fort Myers, Florida. Edna Domino is licensed to practice in Florida (license number APRN1649932) and her current practice location is 3033 Winkler Ave Unit 100, Fort Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 277-7070.
NPI number for Edna Domino is 1225026941 and her current mailing address is 3033 Winkler Ave Unit 100, Fort Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225026941.
Physician's Profile
Full Name | Edna Domino |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3033 Winkler Ave Unit 100, Fort Myers, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225026941
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 12/03/2018
Medical Identifiers
Medical identifiers for Edna Domino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225026941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | ARNP1649932 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN1649932 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edna Domino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edna Domino, APRN 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 Ph: (239) 277-7070 | Edna Domino, APRN 3033 Winkler Ave Unit 100, Fort Myers, FL 33916-9523 Ph: (239) 277-7070 |
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