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1871554774
JOSE CARLOS DOMINGUEZ
TAMPA, FL
NPI
1871554774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: FL ME00555091)
Enumeration Date
2006-03-30
Last Update Date
2011-10-26
Business Address
-- JOSE CARLOS DOMINGUEZ MD
3645 MADACA LN
TAMPA, FL 33618-2048
Phone number: 813-969-0116
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Mailing Address
-- JOSE CARLOS DOMINGUEZ MD
3645 MADACA LN
TAMPA, FL 33618-2048
Phone number: 813-969-0116
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