Individual
JEANNETTE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2780 NE 183RD ST APT 1106, AVENTURA, FL 33160-2112
(305) 527-1746
Mailing address
2780 NE 183RD ST APT 1106, AVENTURA, FL 33160-2112
(305) 527-1746
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101279919
VA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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