Organization
ALBORADA MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE R DOMINGUEZ (PRESIDENT)
(239) 948-4063
Entity
Organization
Contact information
Practice address
3376 WOODS EDGE CIRCLE, STE 102, BONITA SPRINGS, FL 34134
(239) 948-4063
Mailing address
3376 WOODS EDGE CIRCLE, STE 102, BONITA SPRINGS, FL 34134
(239) 948-4063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME90913
FL
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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