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1609256072
IVAN DOMINGUEZ
PEMBROKE PINES, FL
NPI
1609256072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME134038)
Enumeration Date
2015-06-01
Last Update Date
2021-03-26
Business Address
IVAN DOMINGUEZ M.D
680 N UNIVERSITY DR
PEMBROKE PINES, FL 33024
Phone number: 954-981-2555
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Mailing Address
IVAN DOMINGUEZ M.D
14421 SW 10TH ST
MIAMI, FL 33184-3114
Phone number: 786-508-9713
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