Individual
MR. MANUEL SANDOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7815 CORAL WAY, SUITE 105, MIAMI, FL 33155-6541
(786) 334-5290
(786) 334-5292
Mailing address
7815 CORAL WAY, SUITE 105, MIAMI, FL 33155-6541
(786) 334-5290
(786) 334-5292
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA64742
FL
Other
Enumeration date
12/14/2011
Last updated
10/11/2012
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