Organization
DR. SALVATORE DIDOMENICO DCPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE DIDOMENICO DC (PRESIDENT)
(727) 365-4506
Entity
Organization
Contact information
Practice address
7466 EDENMORE STREET, LAKEWOOD RANCH, FL 34202
(727) 365-4506
Mailing address
7466 EDENMORE ST, LAKEWOOD RANCH, FL 34202-7900
(727) 365-4506
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CH0007562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381824100
—
FL
Enumeration date
06/27/2007
Last updated
04/13/2011
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