Individual
MRS. DOMENIQUE VANESSA TRINGALI-HALLIBURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2501 N ORANGE AVE STE 235, ORLANDO, FL 32804-4659
(407) 821-3560
Mailing address
1009 HOME GROVE DR, WINTER GARDEN, FL 34787-6532
(586) 524-5565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601004530
MI
363A00000X
Physician Assistant
Primary
9114212
FL
Other
Enumeration date
02/17/2008
Last updated
04/06/2023
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