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Individual

DR. ROLANDO DOMINGUEZ MUSTAFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 W DUVAL ST, LAKE CITY, FL 32055-5806
(386) 755-3500
Mailing address
437 SW ROSEMARY DR, LAKE CITY, FL 32024-6715
(973) 610-6389
(386) 719-9013

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME123013
FL
208M00000X
Hospitalist Physician
ME123013
FL

Other

Enumeration date
08/12/2011
Last updated
08/13/2025
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