Individual
DR. PATRICK W DOMKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 S HARBOR CITY BLVD STE 430, MELBOURNE, FL 32901-5591
(321) 344-8746
(321) 339-1932
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 344-8746
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME89469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122937200
—
FL
01
—
239538
WELLCARE
FL
05
—
269280500
—
FL
01
—
3456730
AETNA
FL
01
—
37840
BLUE CROSS BLUE SHIELD
FL
01
—
6039513001
CIGNA
FL
01
—
7801535
AETNA
FL
01
—
P00217825
RAILROAD MEDICARE
FL
01
—
XG958
HFMG
FL
Enumeration date
11/09/2005
Last updated
06/29/2026
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