Individual
JAMES DOMESEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 E LAS OLAS BLVD STE 898, FORT LAUDERDALE, FL 33301-2334
(954) 540-5410
(772) 460-6563
Mailing address
1314 E LAS OLAS BLVD STE 898, FORT LAUDERDALE, FL 33301-2334
(954) 540-5410
(772) 460-6563
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
MD039114L
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME86904
FL
Other
Enumeration date
11/04/2005
Last updated
07/31/2018
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