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1790330397
DOMA MD LLC
POMPANO BEACH, FL
NPI
1790330397
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Entity Type
Organization
Authorized Contact
OSVALDO MARTINEZ
Administrator
954-918-4533
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
DOMA MD LLC
440 E SAMPLE RD STE 107
POMPANO BEACH, FL 33064-4432
Phone number: 754-205-2496
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Mailing Address
DOMA MD LLC
4000 N 37TH AVE
HOLLYWOOD, FL 33021-1927
Phone number:
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