Individual provider · Type 1 NPI

Jonathan Domico, PA-C

Medical Physician Assistant · Clearwater, FL

NPI number 1326287657 Active

Practice location

300 Pinellas St
Clearwater, FL 33756-3804

Call (727) 461-8537 Map

Mailing address

PO Box 850001
Orlando, FL 32885-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9104899 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1326287657

Jonathan Domico, PA-C's National Provider Identifier is 1326287657, issued on Feb 10, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clearwater, FL. The record was last updated on Feb 10, 2009.