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1124077474
MICHAEL EUGENE DOMIS
TAMPA, FL
NPI
1124077474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: FL PO2713)
Enumeration Date
2006-05-06
Last Update Date
2019-11-07
Business Address
Dr. MICHAEL EUGENE DOMIS DPM
18203 SANDY POINTE DR
TAMPA, FL 33647
Phone number: 727-804-3668
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Mailing Address
Dr. MICHAEL EUGENE DOMIS DPM
5509 GRAND BLVD STE 203
NEW PORT RICHEY, FL 34652-3836
Phone number: 727-572-5449
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