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Organization
DOMINIQUE MESIDOR MD P.A.
Active
Organization
DOMINIQUE MESIDOR MD P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE MESIDOR M.D. (PRESIDENT)
(727) 328-7400
Entity
Organization
Contact information
Practice address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
(727) 896-1300
(727) 896-1311
Mailing address
PO BOX 16226, ST PETERSBURG, FL 33733-6226
(727) 896-1300
(727) 896-1311
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME86398
FL
2086S0127X
Trauma Surgery Physician
ME86398
FL
Other
Enumeration date
02/22/2007
Last updated
02/26/2008
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