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Individual

MICHELLE M DOMPENCIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12250 TAMIAMI TRL E, SUITE 104, NAPLES, FL 34113-7927
(239) 687-5700
Mailing address
730 GOODLETTE RD N, SUITE 100, NAPLES, FL 34102-5616
(239) 687-5700

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME103296
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000679100
FL
Enumeration date
12/15/2008
Last updated
09/01/2009
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