Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beth Robin Domino, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1295204741

Beth Robin Domino, APRN is a Nurse Practitioner in Bradenton, Florida. Qualified in 2018, 8 years ago. Practices with Wound Care Physicians of Tampa Bay LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3914 E State Road 64
Bradenton, FL 34208-9059
Phone: (941) 216-3800
Fax: (941) 216-3703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11000073 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11000073 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN11000073 (FL)

Record details

NPI number1295204741
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 14, 2018
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022
Mailing address3914 E State Road 64, Bradenton, FL 34208-9059

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wound Care Physicians Of Tampa Bay Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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