DOMINIQUE MESIDOR MD P.A.
NPI 1720113558
Surgery - Surgical Critical Care in St Petersburg, FL

Active since February 22, 2007
1839 CENTRAL AVE, ST PETERSBURG, FL 33713(727) 896-1300(727) 896-1311 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Mesidor Md P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE MESIDOR MD P.A. (NPI 1720113558) is a healthcare organization registered as a surgical critical care in St Petersburg, Florida and active in the NPI registry since February 2007. The organization lists Dominique Mesidor, President, as its authorized official.

NPPES Registry Identity

NPI1720113558
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameDOMINIQUE MESIDOR MD P.A.
Location Address1839 CENTRAL AVESt Petersburg, FL 33713-8900
Mailing AddressPo Box 16226St Petersburg, FL 33733-6226 · (727) 896-1300 · Fax (727) 896-1311
Fax(727) 896-1311
Organization SubpartNo
Authorized OfficialDominique MesidorPresident · (727) 328-7400
Enumeration DateFebruary 22, 2007
Last NPPES UpdateFebruary 26, 2008
NPI 1720113558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in FL · ME86398
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License ME86398 (FL)
1839 CENTRAL AVE, St Petersburg, FL 33713

Other Identifiers 3

OtherU1254XFL · Medicare
Other37818FL · Blue Shield Florida
Medicare UPIN1033205091

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713
Nurse Practitioner (Family)
1839 CENTRAL AVE
SAINT PETERSBURG, FL 33713
Pharmacist
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Nurse Practitioner (Family)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Nurse Practitioner (Gerontology)
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Nurse Practitioner
1839 CENTRAL AVE
ST PETERSBURG, FL 33713
Internal Medicine
1839 CENTRAL AVE
ST PETERSBURG, FL 33713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Mesidor MD P.A.'s NPI number?

The NPI number for Dominique Mesidor MD P.A. is 1720113558. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Dominique Mesidor MD P.A. located?

Dominique Mesidor MD P.A. is located at 1839 Central Ave, St Petersburg, FL 33713. The listed phone number is (727) 896-1300.

What is Dominique Mesidor MD P.A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Dominique Mesidor MD P.A. was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.