Organization
SUNCOAST PATHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIPE DOMINGUEZ M.D. (PRESIDENT)
(321) 795-1321
Entity
Organization
Contact information
Practice address
3030 VENTURE LN, STE 108, MELBOURNE, FL 32934-8172
(321) 253-5197
(321) 253-5199
Mailing address
3030 VENTURE LN, STE 108, MELBOURNE, FL 32934-8172
(321) 253-5197
(321) 253-5199
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
800021486
FL
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/21/2007
Last updated
09/26/2023
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