Individual
MARIA VICTORIA LOPEZ DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010564800
—
FL
Enumeration date
10/12/2005
Last updated
12/03/2024
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