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1578268348
JUAN C DOMINGUEZ
ORLANDO, FL
NPI
1578268348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
JUAN C DOMINGUEZ MD
83 W MILLER ST
ORLANDO, FL 32806-2009
Phone number: 321-843-9792
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Mailing Address
JUAN C DOMINGUEZ MD
15956 SW 136TH WAY
MIAMI, FL 33196-1822
Phone number:
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