Search › Florida › 363AS0400X
Kellie Dominessy, PA-C, MMS, ATC
NPI 1932403383 · on the registry since 2010
Practice
- Address
- 2307 W Broward Blvd
Ste 200
Fort Lauderdale, FL 33312 - Phone
- (954) 792-1010
- Fax
- (954) 792-1199
- Organisation at this address
- David E Perloff Md Pa
Steward Medical Group, Inc.
Miller Surgical Assisting, Llc
Nova Southeastern University, Inc
South Florida Surgical Specialists, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida