| Organization Name: | DR. SALVATORE DIDOMENICO DCPA |
| NPI Number: | 1184821860 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALVATORE DIDOMENICO (PRESIDENT) |
| Mailing Address: | 7466 Edenmore Street Lakewood Ranch |
| State: | FL US |
| Postal Code: | 34202 |
| Phone Number: | 7273654506 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | CH0007562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |