| Manuel Dominguez MD PA | |
|
1540 Washington Ave Miami Beach FL 33139-7801 | |
| (305) 532-4122 | |
| (305) 534-9665 |
| Full Name | Manuel Dominguez MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1540 Washington Ave, Miami Beach, Florida |
| Authorized Official Name and Position | Manuel Dominguez (HEAD MD) |
| 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 Ph: (305) 532-4122 | Manuel Dominguez MD PA 1540 Washington Ave Miami Beach FL 33139-7801 Ph: (305) 532-4122 |
| NPI Number | 1801147541 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801147541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME29578 (Florida) | Primary |
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