Individual
MR. DOMINIQUE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2835 CHURCH AVE, SARASOTA, FL 34234-6025
(941) 500-3311
Mailing address
2835 CHURCH AVE, SARASOTA, FL 34234-6025
(941) 500-3311
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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