Individual
CHRISTOPHER A DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, M.M.S
Contact information
Practice address
280 SW NATURA AVE, DEERFIELD BEACH, FL 33441-3026
(888) 409-8006
(888) 486-0870
Mailing address
151 N NOB HILL RD # 311, PLANTATION, FL 33324-1708
(888) 409-8006
(888) 486-0870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113025
FL
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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