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1609042878
EDDY DOMINGUEZ
HIALEAH, FL
NPI
1609042878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11004646)
Enumeration Date
2008-05-07
Last Update Date
2020-12-11
Business Address
EDDY DOMINGUEZ APRN
4175 W 20TH AVE
HIALEAH, FL 33012-5874
Phone number: 305-825-0300
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Mailing Address
EDDY DOMINGUEZ APRN
2735 W 52ND ST APT 103
HIALEAH, FL 33016-4771
Phone number: 786-290-3277
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