Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROLANDO DOMINGUEZ MUSTAFA, M.D.
ActiveDR. ROLANDO DOMINGUEZ MUSTAFA, M.D. is a Adolescent Medicine healthcare provider located in LAKE CITY, Florida. NPI 1508145251 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · LAKE CITY, FL
Registration Details
- NPI Number
- 1508145251
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2011 (15.036799983018 yrs)
- Last Updated
- Aug 13, 2025
- Licenses
-
ME123013 (FL)ME123013 (FL)
Practice Information
- Address
-
777 W DUVAL STLAKE CITY, FL, 320555806Browse FL providers · Browse ZIP 32055
- Phone
- 3867553500
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Other Adolescent Medicine Providers in LAKE CITY, FL
| Name | Credential | NPI |
|---|---|---|
| DR. UT VAN TRAN | MD | 1588755029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.