MEDICARE: DR. AVI ELIZABETH DOMNITZ-GEBET DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	OS15654	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619125622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AVI ELIZABETH DOMNITZ-GEBET DO

Provider Business Mailing Address
First Line	:	4107 NEPTUNE RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6741
Country	:	US
Telephone Number	:	321-805-4398
Fax Number	:

Provider Business Practice Location Address
First Line	:	4107 NEPTUNE RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6741
Country	:	US
Telephone Number	:	321-805-4398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	07/25/2022

Similar Medicare Providers

1205768413 — JENNIFER HACKNEY LMHC
Practice Location Address:

4117 NEPTUNE RD
SAINT CLOUD, FL
34769-6741

Practice Phone: 407-593-6225
Practice Fax:

1184024572 — JOHN GORSUCH AP
Practice Location Address:

4121 NEPTUNE RD
SAINT CLOUD, FL
34769-6741

Practice Phone: 407-738-7412
Practice Fax:

1083087027 — TANYA WOLF
Practice Location Address:

4121 NEPTUNE RD
SAINT CLOUD, FL
34769-6741

Practice Phone: 407-738-7412
Practice Fax:

1407360324 — JAMIE JIT LPCC
Practice Location Address:

4117 NEPTUNE RD
SAINT CLOUD, FL
34769-6741

Practice Phone: 407-593-6225
Practice Fax:

1962908384 — MISS RAQUEL MEDINA VALENTIN SLPA,ITDS
Practice Location Address:

4119 NEPTUNE RD
SAINT CLOUD, FL
34769-6741

Practice Phone: 407-913-1010
Practice Fax: 407-992-8697

1235782608 — THE CONNECTION CHURCH CORPORATION
Practice Location Address:

4117 NEPTUNE RD
SAINT CLOUD, FL
34769-6741

Practice Phone: 407-729-5847
Practice Fax:

Directions to “ DR. AVI ELIZABETH DOMNITZ-GEBET DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.