Individual
MR. DOMENIC DIBARTOLOMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
8107 LONGMEADOW DR, TALLAHASSEE, FL 32312-6793
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9362832
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11000996
FL
Other
Enumeration date
10/01/2018
Last updated
01/22/2019
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