ALAN STANLEY DOMACK

TALLAHASSEE, FL
NPI1275043135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110804)
Enumeration Date2017-10-05
Last Update Date2017-10-05
Business Address
ALAN STANLEY DOMACK PA-C
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 32308-4470
Phone number: 850-877-8174
Mailing Address
ALAN STANLEY DOMACK PA-C
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 32308-4470
Phone number: 850-877-8174
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