Miriam Batule Dominguez, MD
General Practice in Plantation, FL. Individual provider (NPI-1).
NPI number1003644501
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1003644501
- Entity type
- Individual (NPI-1)
- Name
- Miriam Batule Dominguez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ACN1760 | FL | Yes |
| 208D00000X | General Practice | 24565 | PR | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
8251 W Broward Blvd Ste 206Plantation, FL 33324-2703
Phone 954-334-3131 · Fax 954-334-3132
Mailing address
8251 W Broward Blvd Ste 206Plantation, FL 33324-2703
Phone 954-334-3131 · Fax 954-334-3132
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