Individual
ADAMARIS DOMENECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 NW 42ND AVE. SUITE 101, MIAMI, FL 33126
(305) 204-0333
Mailing address
860 NW 42ND AVE, FL 5, MIAMI, FL 33126-3014
(305) 504-7885
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
01/11/2024
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