Individual
DOMINIC FIORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(386) 944-7202
Mailing address
144 FARM RD W, WADING RIVER, NY 11792-1756
(800) 330-7711
(386) 944-7202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01601800
NJ
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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