Organization
DOMINGO TC NGO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINGO NGO M.D. (PRESIDENT)
(772) 283-9111
Entity
Organization
Contact information
Practice address
823 SE OSCEOLA ST, STUART, FL 34994-2431
(772) 283-9111
(772) 283-2955
Mailing address
823 SE OSCEOLA ST, STUART, FL 34994-2431
(772) 283-9111
(772) 283-2955
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME31224
FL
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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