Individual
GEORGINA DOMINGUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16275 SW 94TH ST, MIAMI, FL 33196-4920
(239) 203-4453
Mailing address
16275 SW 94TH ST, MIAMI, FL 33196-4920
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
10/24/2025
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