# ALBORADA MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003839051
- **Authorized official:** JORGE R DOMINGUEZ (PRESIDENT)
- **Authorized official phone:** (239) 948-4063

## Contact information

- **Practice address:** 3376 WOODS EDGE CIRCLE, STE 102, BONITA SPRINGS, FL 34134
- **Practice address phone:** (239) 948-4063
- **Mailing address:** 3376 WOODS EDGE CIRCLE, STE 102, BONITA SPRINGS, FL 34134
- **Mailing address phone:** (239) 948-4063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME90913 | FL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020