Individual
BABY LYN DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4498 MCINTOSH PARK DR APT 1906, SARASOTA, FL 34232-6526
(727) 366-8957
Mailing address
4498 MCINTOSH PARK DR APT 1906, SARASOTA, FL 34232-6526
(727) 366-8957
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT27123
FL
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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