Organization
RODOLFO DUMENIGO MD PA
Active
Other names
CLINICAL CARE MEDICAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE D SUAREZ (CMO)
(305) 534-0076
Entity
Organization
Contact information
Practice address
2417 US HIGHWAY 98 N, LAKELAND, FL 33805-2410
(863) 821-0030
(844) 742-6552
Mailing address
1400 NW 107TH AVE, SWEETWATER, FL 33172-2791
(305) 534-0076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
10/30/2023
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