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Contact Information

MICHAEL E DOMIS, DPM
18203 SANDY POINTE DR
TAMPA, FL33647
 Phone: 727-804-3668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL E DOMIS · (Male)

NPI # 1124077474
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/06/2006
Last updated 11/07/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO2713
  • FL Medicaid 390456300
Hospital affiliation(s) Not Available
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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