Individual
DR. DOMINIC J TOTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8942 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-3403
(772) 398-1305
(772) 398-1307
Mailing address
9960 S OCEAN DR, JENSEN BEACH, FL 34957-2455
(918) 688-6628
(561) 828-3372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3224
OK
207QA0505X
Adult Medicine Physician
OS11746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729250K
—
OK
01
—
1396734646
NPI
FL
01
—
OS11746
MEDICAL LICENSE
FL
Enumeration date
10/19/2005
Last updated
03/07/2023
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