Individual
EDNA DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3033 WINKLER AVE UNIT 100, FORT MYERS, FL 33916-9523
(239) 277-7070
(239) 277-7071
Mailing address
3033 WINKLER AVE UNIT 100, FORT MYERS, FL 33916-9523
(239) 277-7070
(239) 277-7071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ARNP1649932
FL
363L00000X
Nurse Practitioner
Primary
APRN1649932
FL
Other
Enumeration date
10/06/2005
Last updated
12/03/2018
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