Carlos Lorenzo Dominguez, M.D

NPI #1104864768 in Deltona, Florida

Provider Information

NPI Number: 1104864768
Entity Type: Individual
Name: Carlos Lorenzo Dominguez, M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D
Enumeration Date: Jun 3, 2006
Last Updated: Jan 25, 2012

Practice Location

Address: 1857 PROVIDENCE BLVD
City: Deltona
State: Florida
ZIP Code: 32725-3811
Phone: (386) 789-8544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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