Individual
DR. KEITH EDWARD DOMBROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
ME142817
FL
2084N0400X
Neurology Physician
ME142817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104934600
—
FL
01
—
70T14
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/17/2007
Last updated
04/28/2023
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