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Organization

ANGELO S DOMINGO JR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELO S DOMINGO JR. PSYD (MANAGING MEMBER)
(203) 668-6318
Entity
Organization

Contact information

Practice address
9926 52ND ST E, PARRISH, FL 34219-4417
(203) 668-6318
Mailing address
9926 52ND ST E, PARRISH, FL 34219-4417
(203) 668-6318

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7379
FL

Other

Enumeration date
04/14/2009
Last updated
04/14/2009
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