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Organization
MANUEL DOMINGUEZ MD PA
Active
Organization
MANUEL DOMINGUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL DOMINGUEZ MD (OWNER)
(305) 532-4122
Entity
Organization
Contact information
Practice address
1540 WASHINGTON AVE, MIAMI BEACH, FL 33139-7801
(305) 532-4122
Mailing address
1540 WASHINGTON AVE, MIAMI BEACH, FL 33139-7801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
06/22/2021
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