Individual
DR. SALVATORE DOCIMO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
285923-1
NY
208600000X
Surgery Physician
Primary
OS17941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111367800
—
FL
01
—
DYV6K
BCBS
FL
Enumeration date
01/04/2010
Last updated
10/11/2021
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