Individual
EVELYN DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 N STATE ROAD 7 STE B, ROYAL PALM BEACH, FL 33411-3504
(561) 798-6600
(561) 753-3328
Mailing address
10131 W. FOREST HILL BLVD, STE 230, WEST PALM BEACH, FL 33414
(561) 798-6600
(561) 204-2042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9458773
FL
246ZS0410X
Surgical Technologist
—
—
363L00000X
Nurse Practitioner
Primary
APRN11014312
FL
Other
Enumeration date
11/19/2005
Last updated
07/22/2021
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