Dr. Dominique Mesidor
Trauma Surgeon Surgical Critical Care
2010 59th St W Suite 2200
Bradenton
, Florida 34209-4616
Dr. Dominique Mesidor
Trauma Surgeon Surgical Critical Care
2010 59th St W Suite 2200
Bradenton
, Florida 34209-4616
(941) 761-1532
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About
Features
Specialties
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Dominique Mesidor
- 2010 59th St W Suite 2200
- Bradenton, FL
- Zip : 34209-4616
- Fax : (941) 761-1532
- Phone : (941) 794-5621
Second Address
- Dr. Dominique Mesidor
- 2010 59th St W Suite 2200
- Bradenton, FL
- Zip : 34209-4616
- Fax : (941) 761-1532
- Phone : (941) 794-5621
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | 044539 | GA |
| N | 2086S0127X | Trauma Surgeon | ME0086398 | FL |
National Provider Identifier
| NPI | 1033205091 |
|---|---|
| Provider Name | Dr. Dominique Mesidor |
| First Address | Bradenton, FL 34209-4616 |
| Second Address | Bradenton, FL 34209-4616 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 01/11/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 267667200 | (05) | FL |
| U1254X | MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.