| Marisela Dominguez, MD | |
|
5350 Spring Hill Dr, Spring Hill, FL 34606-4562 | |
| (352) 688-8116 | |
| (352) 686-9477 |
| Full Name | Marisela Dominguez |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 5350 Spring Hill Dr, Spring Hill, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205949104 | NPI | - | NPPES |
| 000431600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-091349 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | ME102787 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME102787 (Florida) | Primary |
| Entity Name | Cogent Healthcare of Pensacola LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346287182 PECOS PAC ID: 1153226766 Enrollment ID: O20031205000170 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Inpatient Care Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679817134 PECOS PAC ID: 0345493623 Enrollment ID: O20130117000370 |
| Entity Name | Florida Health Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952848913 PECOS PAC ID: 1456638956 Enrollment ID: O20170511000384 |
| Entity Name | Florida Rehab Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447941984 PECOS PAC ID: 5890155279 Enrollment ID: O20230717002638 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisela Dominguez, MD 14690 Spring Hill Drive, Suite 100, Spring Hill, FL 34609 Ph: (352) 799-0046 | Marisela Dominguez, MD 5350 Spring Hill Dr, Spring Hill, FL 34606-4562 Ph: (352) 688-8116 |
Dr. Julio Faustino Menendez, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11120 Libby Rd, Spring Hill, FL 34609 Phone: 352-666-8089 Fax: 352-666-6645 |