Individual
VALERIE DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 N KENDALL DR STE 410W, MIAMI, FL 33176-2127
(786) 596-3876
(786) 533-9989
Mailing address
6600 MAIN ST APT 1205, MIAMI LAKES, FL 33014-2286
(786) 541-7981
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9113625
FL
Other
Enumeration date
04/02/2019
Last updated
04/01/2022
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