HomeNPI Verification

NPI Verification

National Provider Identifier: 1194228924

Dominique Broutin, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Clinic/Center, Student Health

Code: 261QS1000X

Practice Address

3113 LAWTON RD STE 100

ORLANDO, FL 328033519

Phone: 407-894-3241

NPI Enumeration Date

March 18, 2018

NPI Number

1194228924

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry