Individual
MR. BENJAMIN JOSEPH DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
10409 ANGEL OAK CT, ORLANDO, FL 32836-6513
(407) 536-9751
(424) 484-2667
Mailing address
8 THE GRN, DOVER, DE 19901-3618
(407) 536-9751
(424) 484-2667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
72269
ID
363LF0000X
Family Nurse Practitioner
AC005113
MD
363LF0000X
Family Nurse Practitioner
APRN11015101
FL
363LF0000X
Family Nurse Practitioner
Primary
F332209-1
NY
Other
Enumeration date
02/13/2007
Last updated
09/20/2025
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