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1104864768
CARLOS LORENZO DOMINGUEZ
DELTONA, FL
NPI
1104864768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME0072352)
Enumeration Date
2006-06-03
Last Update Date
2012-01-25
Business Address
-- CARLOS LORENZO DOMINGUEZ M.D
1857 PROVIDENCE BLVD
DELTONA, FL 32725-3811
Phone number: 386-789-8544
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Mailing Address
-- CARLOS LORENZO DOMINGUEZ M.D
4876 RED BRICK RUN
SANFORD, FL 32771-7108
Phone number: 386-789-8544
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