Felipe E. Dominguez, MD, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

ME 48985 Issued in FL

Legal business name

FELIPE E. DOMINGUEZ, MD, PA

Practice address

3030 Venture Lane
Ste 108
Melbourne, FL 32934

Phone

(321) 253-5197

Fax

(321) 253-5199

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Felipe E Dominguez, MD

Title

President

Phone

(321) 795-1321

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1871874974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-581-0890",
            "fax_number": "772-581-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 VENTURE LANE",
            "address_2": "STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32934",
            "telephone_number": "321-253-5197",
            "fax_number": "321-253-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIPE E. DOMINGUEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-795-1321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME 48985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Featherston, ARNP
• Isabelle Elise Federico
• Robin Feindt
• Jacqueline Felder, ARNP
• Linda Joy Feliciano, PHARM D.
• Katja Felsinger, M.D.
• Allison Rose Fenech
• Sara Fenoy, LMHC
• Amanda Grace Fentress
• Khadijah Fergiani, MD

• Clinical Medical Laboratory in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.