NPIMap

Organization Active NPI

Rodolfo Dumenigo MD PA

Doing business as Clinical Care Medical Centers

  • General Practice Physician
  • Lakeland, FL
National Provider Identifier
1700417268
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RODOLFO DUMENIGO MD PA
Doing business as
Clinical Care Medical Centers
Practice address
2417 US Highway 98 N
Lakeland, FL 33805-2410
Phone
(863) 821-0030
Fax
(844) 742-6552
NPI assigned
Feb 3, 2020
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Jose D SuarezNPI 1407982457
Title
Cmo
Phone
(305) 534-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2417 US Highway 98 N
Lakeland, FL 33805-2410

Mailing address

1400 NW 107TH Ave
Sweetwater, FL 33172-2791
Phone (305) 534-0076

Other names 1

  • CLINICAL CARE MEDICAL CENTERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinical Care Medical Centers20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

1400 NW 107th Ave
Sweetwater, FL 33172
Phone (305) 502-6282

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1700417268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 107TH AVE",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722791",
            "telephone_number": "305-534-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052410",
            "telephone_number": "863-821-0030",
            "fax_number": "844-742-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO DUMENIGO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "305-534-0076"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICAL CARE MEDICAL CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.