Individual
EMILIO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36819 EILAND BLVD STE 1, ZEPHYRHILLS, FL 33542-0600
(813) 778-0288
(813) 355-5041
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME63075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110218086
RR MEDICARE
FL
05
—
376121500
—
FL
Enumeration date
08/05/2006
Last updated
08/25/2021
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