Individual
DR. FLORENCE FAYE DOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LEHIGH REGIONAL MEDICAL CENTER, 1500 LEE BLVD., LEHIGH ACRES, FL 33936
(239) 303-2600
(239) 303-2604
Mailing address
292 JUSTENE CIR, LEHIGH ACRES, FL 33936-7568
(417) 839-5755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004022322
MO
208M00000X
Hospitalist Physician
Primary
2012033551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201112080
—
IN
05
—
209315605
—
MO
05
—
7100510910
—
KY
Enumeration date
06/28/2006
Last updated
03/30/2018
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