Angelo S Domingo Jr LLC

NPI #1285877795 in Parrish, Florida

Provider Information

NPI Number: 1285877795
Entity Type: Organization
Organization Name: Angelo S Domingo Jr LLC
Primary Specialty: Psychologist
Enumeration Date: Apr 14, 2009
Last Updated: Apr 14, 2009

Practice Location

Address: 9926 52ND ST E
City: Parrish
State: Florida
ZIP Code: 34219-4417
Phone: (203) 668-6318

Authorized Official

Name: DR. ANGELO S DOMINGO JR., PSYD
Title: MANAGING MEMBER
Phone: (203) 668-6318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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