Individual
ELLIOT DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 SW 73RD AVE UNIT C, MIAMI, FL 33155-4520
(305) 248-1003
(305) 248-1009
Mailing address
4101 SW 73RD AVE UNIT C, MIAMI, FL 33155-4520
(305) 248-1003
(305) 248-1009
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT17234
FL
Other
Enumeration date
05/20/2019
Last updated
09/23/2024
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