Individual
GELENIS CALZADILLA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20801 BISCAYNE BOULEVARD, SUITE 200, AVENTURA, FL 33180-1422
(954) 265-4325
(305) 935-3186
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5644
(954) 276-0668
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME110846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004108900
—
FL
Enumeration date
04/10/2008
Last updated
03/19/2021
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