Domahn, INC
NPI #1982858049 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1982858049
- Entity Type
- Organization
- Organization Name
- Domahn, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 15, 2008
- Last Updated
- Nov 15, 2008
Practice Location
- Address
- 3109 TAMIAMI TRL
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-8046
- Phone
- (941) 235-1500
Authorized Official
- Name
- MR. MITHO LAROSE AMILCAR, PRESIDENT
- Title
- ADMINSTRATOR
- Phone
- (941) 235-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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