Individual
DR. JAY VINCENT DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 44TH AVE E STE 301, BRADENTON, FL 34203-3639
(941) 242-9628
(941) 242-9660
Mailing address
109 44TH AVE E STE 301, BRADENTON, FL 34203-3639
(941) 242-9628
(941) 242-9660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
153675
FL
207RN0300X
Nephrology Physician
Primary
153675
FL
Other
Enumeration date
03/22/2018
Last updated
08/01/2023
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