Organization
OB-GYN ASSOCIATES OF SOUTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS DOMINGUEZ MD (OWNER)
(305) 860-5407
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE STE 710, MIAMI, FL 33133-4214
(305) 860-5407
(305) 854-6521
Mailing address
3661 S MIAMI AVE STE 710, MIAMI, FL 33133-4214
(305) 860-5407
(305) 854-6521
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME 113513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891939294
INDIVIDUAL NPI
FL
Enumeration date
07/17/2012
Last updated
12/04/2012
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