MEDICARE: DR. PATRICK L DOMINGUEZ M.D.

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	207N00000X	Dermatology Physician	ME154324	FL

General Provider Information

NPI Number	:	1184891830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK L DOMINGUEZ M.D.

Provider Business Mailing Address
First Line	:	151 SOUTHHALL LN STE 300
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-7172
Country	:	US
Telephone Number	:	866-400-3376
Fax Number	:	407-650-3455

Provider Business Practice Location Address
First Line	:	80 W GRANT ST STE 117
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-3909
Country	:	US
Telephone Number	:	866-400-3376
Fax Number	:	407-770-0182

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

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	06/13/2024

Similar Medicare Providers

1477093706 — SHAUNTE WILKS PA-C
Practice Location Address:

80 W GRANT ST STE 117
ORLANDO, FL
32806-3909

Practice Phone: 407-770-0139
Practice Fax: 407-770-0182

1003584616 — NICOLE SUMMER RANDALL PT, DPT
Practice Location Address:

3909 S SUMMERLIN AVE
ORLANDO, FL
32806-6905

Practice Phone: 407-317-3200
Practice Fax:

1063784817 — KELLY S DRIVER M.S., PMH
Practice Location Address:

8301 E COLONIAL DR
ORLANDO, FL
32817-3909

Practice Phone: 407-249-6560
Practice Fax:

1750623641 — JNT HEALTHCARE LLC
Practice Location Address:

1745 W OAK RIDGE RD
ORLANDO, FL
32809-3909

Practice Phone: 407-203-6750
Practice Fax: 407-203-6755

1497162770 — DR. ANGELA ATKINSON WILLIAMS PHD., LMHC
Practice Location Address:

8301 E COLONIAL DR
ORLANDO, FL
32817-3909

Practice Phone: 407-249-6560
Practice Fax:

1912501172 — PHUONG VO LAN TRAN ARNP
Practice Location Address:

1713 W OAK RIDGE RD
ORLANDO, FL
32809-3909

Practice Phone: 407-240-6288
Practice Fax: 407-438-7450

Directions to “ DR. PATRICK L DOMINGUEZ M.D.” 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.