Organization
PALM COAST CARDIOVASCULAR INSTITUTE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENIC MARINI M.D. (OWNER/MEDICAL DIRECTOR)
(386) 586-4404
Entity
Organization
Contact information
Practice address
19 OLD KINGS RD N STE C101, PALM COAST, FL 32137-8261
(386) 446-6540
Mailing address
19 OLD KINGS RD N STE C101, PALM COAST, FL 32137-8261
(386) 446-6540
(386) 447-7148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80454
FL
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/25/2008
Last updated
03/20/2020
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