Individual
MR. DOMINIC LOUIS SORRENTINO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8648 E STATE ROAD 70, BRADENTON, FL 34202-3785
(813) 732-1209
Mailing address
8648 E STATE ROAD 70, BRADENTON, FL 34202-3785
(813) 732-1209
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101611
FL
Other
Enumeration date
02/22/2007
Last updated
10/22/2008
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