| Jose Carlos Dominguez Jr, MD | |
|
3645 Madaca Ln, Tampa, FL 33618-2048 | |
| (813) 969-0116 | |
| (813) 969-3794 |
| Full Name | Jose Carlos Dominguez Jr |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 3645 Madaca Ln, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871554774 | NPI | - | NPPES |
| 059950600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | ME00555091 (Florida) | Primary |
| Entity Name | Aaia Tampa Bay, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730198037 PECOS PAC ID: 2264493014 Enrollment ID: O20041025000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Carlos Dominguez Jr, MD 3645 Madaca Ln, Tampa, FL 33618-2048 Ph: (813) 969-0116 | Jose Carlos Dominguez Jr, MD 3645 Madaca Ln, Tampa, FL 33618-2048 Ph: (813) 969-0116 |
Juan Carlos Cardet Guisasaola, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 13330 Usf Laurel Dr, Tampa, FL 33612 Phone: 813-974-2201 | |
Mark C Glaum, M.D., PH.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 13801 Bruce B Downs Blvd, Suite 502, Tampa, FL 33613 Phone: 813-971-9743 Fax: 813-558-9421 | |
Seong Ho Cho, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 13801 Bruce B Downs Blvd, Ste 502, Tampa, FL 33613 Phone: 813-971-9743 Fax: 813-558-9421 | |
Dr. Roberto Garcia, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 10940 Sheldon Rd, Tampa, FL 33626 Phone: 813-926-4058 Fax: 813-926-9872 | |
Thomas B. Casale, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 12901 Bruce B Downs Blvd, Mdc 19, Tampa, FL 33612 Phone: 813-974-8954 | |
Dr. Shahid Iqbal, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5516 Hanley Rd, Tampa, FL 33634 Phone: 813-876-0502 Fax: 813-872-6503 | |
Mark Ballow, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Stc 5th Floor, Tampa, FL 33606 Phone: 727-767-4150 Fax: 727-767-8532 |