Carlos L Dominguez MD PA

NPI #1730452970 in Deltona, Florida

Provider Information

NPI Number: 1730452970
Entity Type: Organization
Organization Name: Carlos L Dominguez MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Feb 20, 2012
Last Updated: Feb 20, 2012

Practice Location

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

Authorized Official

Name: DR. CARLOS L DOMINGUEZ, MD
Title: OWNER/PRESIDENT
Phone: (386) 789-8544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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