JOHANNY LOPEZ DOMINGUEZ

ORLANDO, FL
NPI1972187086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  35293)
Enumeration Date2021-05-06
Last Update Date2022-06-14
Business Address
JOHANNY LOPEZ DOMINGUEZ MD
52 W UNDERWOOD ST
ORLANDO, FL 32806-1110
Phone number: 321-841-5145
Mailing Address
JOHANNY LOPEZ DOMINGUEZ MD
9745 TOUCHTON RD UNIT 1530
JACKSONVILLE, FL 32246-1513
Phone number:
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