# JOSE I DOMINGO FACOG PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568588051
- **Authorized official:** DR. JOSE I DOMINGO MD (OWNER)
- **Authorized official phone:** (941) 629-6349

## Contact information

- **Practice address:** 2484 CARING WAY, SUITE A, PORT CHARLOTTE, FL 33952-5306
- **Practice address phone:** (941) 629-6349
- **Mailing address:** 2484 CARING WAY, SUITE A, PORT CHARLOTTE, FL 33952-5306
- **Mailing address phone:** (941) 629-6349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME57596 | FL | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 09/21/2007