Individual
MARISELA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 688-8116
(352) 686-9477
Mailing address
14690 SPRING HILL DRIVE, SUITE 100, SPRING HILL, FL 34609
(352) 799-0046
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-091349
IL
207Q00000X
Family Medicine Physician
ME102787
FL
208M00000X
Hospitalist Physician
Primary
ME102787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000431600
—
FL
Enumeration date
08/16/2006
Last updated
03/17/2018
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