Dominique F Dubose, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1225 Center Dr
Gainesville, FL 32610-0154

Phone

(352) 273-6085

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1245569763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 NW 40TH DRIVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "333134750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CENTER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100154",
            "telephone_number": "352-273-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "DOMINIQUE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freda Alexandra Dubery
• Andrew Howard Dubin, M.D.
• Susan Dubinsky, PA-C
• Terica Dubois
• Seydel Yanitza Dubon, PA-C
• Robert Leonard Dubuisson, MD
• Alexandria Dubur
• Lorent Duce, MD
• Richard Ducharme, J.D., RPH
• Chelsea Duchatellier

• Athletic Trainer in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.