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Individual

DR. DOMINGO J LEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
ME0084811
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
ME84811
FL
208D00000X
General Practice Physician
Primary
ME84811
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264092900
FL
01
ME0084811
MEDICAL LICENSE NUMBER
FL
Enumeration date
08/03/2006
Last updated
03/07/2023
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