Individual
MR. DOMENIC J POMPILE
Active
Individual
MR. DOMENIC J POMPILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,CSCS
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
018160
FL
225100000X
Physical Therapist
Primary
018160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FM007A
MEDICARE PTAN
FL
Enumeration date
10/22/2007
Last updated
04/11/2016
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