ILEANA DOMINGUEZ BAUTE

MIAMI, FL
NPI1659907178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: FL  11006611)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: FL  11006611)
Enumeration Date2020-03-16
Last Update Date2024-02-02
Business Address
ILEANA DOMINGUEZ BAUTE PMHNP
3030 SW 96TH AVE
MIAMI, FL 33165-3039
Phone number: 786-419-0994
Mailing Address
ILEANA DOMINGUEZ BAUTE PMHNP
14707 SOUTH DIXIE HIGHWAY, PALMETTO BAY, FL, 33176 SUITE 201
PALMETTO BAY, FL 33176-3039
Phone number: 786-250-3475