Individual
ALEJANDRO FLORES DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7534 SAN MORITZ DR, PORT RICHEY, FL 34668-5144
(786) 464-6804
Mailing address
7534 SAN MORITZ DR, PORT RICHEY, FL 34668-5144
(786) 464-6804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-320202
FL
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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