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1699317123
SOFIA MAITE DOMINGUEZ
CORAL GABLES, FL
NPI
1699317123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11004650)
Enumeration Date
2019-10-16
Last Update Date
2022-01-13
Business Address
SOFIA MAITE DOMINGUEZ
1055 BELLA VISTA AVE
CORAL GABLES, FL 33156-6451
Phone number: 786-239-3527
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Mailing Address
SOFIA MAITE DOMINGUEZ
3659 S MIAMI AVE STE 3005
MIAMI, FL 33133-4225
Phone number: 305-860-6260
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