Individual
ILIANA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 SW 92ND ST, SUITE 204, MIAMI, FL 33156-7397
(305) 279-2428
(305) 596-9996
Mailing address
8600 SW 92ND ST, SUITE 204, MIAMI, FL 33156-7397
(305) 279-2428
(305) 596-9996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 13334
FL
Other
Enumeration date
08/27/2008
Last updated
11/01/2014
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