Individual
JOSE ANTOLIN DOMINGUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7375
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7375
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
20055
MD
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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