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Organization
ANGELO S DOMINGO JR LLC
Active
Organization
ANGELO S DOMINGO JR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO S DOMINGO JR. PSYD (MANAGING MEMBER)
(203) 668-6318
Entity
Organization
Contact information
Practice address
9926 52ND ST E, PARRISH, FL 34219-4417
(203) 668-6318
Mailing address
9926 52ND ST E, PARRISH, FL 34219-4417
(203) 668-6318
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7379
FL
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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