Ronald Richard Domescek
Interventional Cardiology Internist - Cardiovascular Disease
1222 S Orange Ave
Orlando
, Florida 32806-1215
Ronald Richard Domescek
Interventional Cardiology Internist - Cardiovascular Disease
1222 S Orange Ave
Orlando
, Florida 32806-1215
(407) 650-1307
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Ronald Richard Domescek
- 1222 S Orange Ave
- Orlando, FL
- Zip : 32806-1215
- Fax : (407) 650-1307
- Phone : (407) 650-1300
Second Address
- Ronald Richard Domescek
- 1222 S Orange Ave
- Orlando, FL
- Zip : 32806-1215
- Fax : (407) 650-1307
- Phone : (407) 650-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | ME57239 | FL |
| Y | 207RI0011X | Interventional Cardiology | ME57239 | FL |
National Provider Identifier
| NPI | 1013912948 |
|---|---|
| Provider Name | Ronald Richard Domescek |
| First Address | Orlando, FL 32806-1215 |
| Second Address | Orlando, FL 32806-1215 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 11/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 063394100 | (05) | FL |
| ME57239 | MEDICAL LICENSE (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.