JONATHAN DOMICO

CLEARWATER, FL
NPI1326287657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9104899)
Enumeration Date2009-02-10
Last Update Date2009-02-10
Business Address
-- JONATHAN DOMICO PA-C
300 PINELLAS ST
CLEARWATER, FL 33756-3804
Phone number: 727-461-8537
Mailing Address
-- JONATHAN DOMICO PA-C
PO BOX 850001
ORLANDO, FL 32885-0001
Phone number: 904-482-1070
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