Dominic Louis Sorrentino Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101611 Issued in FL

Practice address

8648 E State Road 70
Bradenton, FL 34202-3785

Phone

(813) 732-1209

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2026 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Franklin, Favata & Hulls, MD's, PA

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1841240439
  NPD (past)
• Tarpon Springs Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Tarpon Springs, FL
  • NPI 1568415370
  NPD (past)
• Town & Country Emergency Physicians LLC

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1629024088
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1750416582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8648 E STATE ROAD 70",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023785",
            "telephone_number": "813-732-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8648 E STATE ROAD 70",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023785",
            "telephone_number": "813-732-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "DOMINIC",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saska Fiona Sookra Winslow, M.D.
• Lauren Sorge
• Bethrina Soriano-Smith, CRNA
• Lisa M Sorrells, M.D.
• Andrea Sorrentini, COTA
• Justine Lee Soscia, APRN
• Sarah Catherine Soscia, NP
• Yetne Sotero Ofarrill, APRN, FNP-C
• Amanda Nicole Soto
• Mariela Soto

• Medical Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.