Organization
MAXFELONILO A DOMINGO MD PA
Active
Organization
MAXFELONILO A DOMINGO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXFELONILO A. DOMINGO M.D. (PRESIDENT)
(352) 795-4165
Entity
Organization
Contact information
Practice address
760 SE 5TH TER, CRYSTAL RIVER, FL 34429-4852
(352) 795-4165
Mailing address
PO BOX 2890, CRYSTAL RIVER, FL 34423-2890
(352) 795-4165
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0043605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06004119
RAILROAD MEDICARE NUMBER
FL
Enumeration date
07/11/2006
Last updated
05/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up