National Provider Identifier Database

MICHAEL E DOMIS, DPM – NPI #1124077474
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

MICHAEL E DOMIS, DPM
18203 SANDY POINTE DR
TAMPA, FL33647
Phone: 727-804-3668
Fax:
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL E DOMIS

NPI Number 1124077474
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/06/2006
Last updated 11/07/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: PO2713
  • FL Medicaid: 390456300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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