Elides Dominguez, CACII
Elides Dominguez, CACII is a General Practice in Wesley Chapel, Florida. Qualified in 1983, 43 years ago. Practices with Pcc Medical Holdings LLC, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.
- Years since qualifying
- 43
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
2607 Windguard Cir Ste 102Wesley Chapel, FL 33544-7352
Phone: (813) 907-6767
Fax: (813) 907-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence ACN1111 (FL) |
|---|
Record details
| NPI number | 1124475835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CACII |
| Sole proprietor | No |
| NPI enumerated | May 23, 2016 |
| Last updated in NPPES | August 11, 2022 |
| Certification date | August 11, 2022 |
| Mailing address | 5626 Curry Ford Rd, Orlando, FL 32822-1424 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1983 (43 years in practice) |
| Group practice | Pcc Medical Holdings Llc — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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