Individual
ADAMARIS DOMENECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10544 NW 26TH ST STE E204, DORAL, FL 33172-2160
(786) 281-0753
Mailing address
9540 SW 28TH ST, MIAMI, FL 33165-3014
(786) 281-0753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11004404
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11004404
FL
Other
Enumeration date
01/05/2023
Last updated
07/15/2026
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