Organization
3D SPORTS MEDICINE & JOINT CENTER, INC.
Active
Other names
3D Sports Medicine & Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E DOMINGUEZ M.D. (OWNER)
(321) 610-8939
Entity
Organization
Contact information
Practice address
640 CLASSIC CT STE 104, MELBOURNE, FL 32940-8279
(321) 610-8939
(321) 622-8728
Mailing address
640 CLASSIC CT STE 104, MELBOURNE, FL 32940-8279
(321) 610-8939
(321) 622-8728
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME110378
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME110378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123405600
—
FL
Enumeration date
06/18/2014
Last updated
03/19/2025
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