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Individual
JOSE CARLOS DOMINGUEZ JR.
Active
Individual
JOSE CARLOS DOMINGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME00555091
FL
Other
Enumeration date
03/30/2006
Last updated
10/26/2011
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