| Manuel Dominguez MD PA | |
|
1540 Washington Ave Miami Beach FL 33139-7801 | |
| (305) 532-4122 | |
| Not Available |
| Full Name | Manuel Dominguez MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1540 Washington Ave, Miami Beach, Florida |
| Authorized Official Name and Position | Manuel Dominguez (OWNER) |
| Authorized Official Contact | 3055324122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Dominguez MD PA 1540 Washington Ave Miami Beach FL 33139-7801 | Manuel Dominguez MD PA 1540 Washington Ave Miami Beach FL 33139-7801 Ph: (305) 532-4122 |
| NPI Number | 1922672294 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 06/22/2021 |
| Certification Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922672294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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