Dr. Patrick L Dominguez, M.D.
Dermatology in Orlando, FL. Individual provider (NPI-1).
NPI number1184891830
StatusActive
Last updated in NPPESJun 13, 2024
Details
- NPI
- 1184891830
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick L Dominguez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 13, 2008
- Certification date
- Jun 13, 2024
- Last updated
- Jun 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | ME154324 | FL | Yes |
Practice location
80 W Grant St Ste 117Orlando, FL 32806-3909
Phone 866-400-3376 · Fax 407-770-0182
Mailing address
151 Southhall Ln Ste 300Maitland, FL 32751-7172
Phone 866-400-3376 · Fax 407-650-3455
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