Angelo S Domingo Jr LLC
Psychologist in Parrish, FL. Organization (NPI-2).
NPI number1285877795
StatusActive
Last updated in NPPESApr 14, 2009
Details
- NPI
- 1285877795
- Entity type
- Organization (NPI-2)
- Legal business name
- Angelo S Domingo Jr LLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2009
- Last updated
- Apr 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | py7379 | FL | Yes |
Practice location
9926 52nd St EParrish, FL 34219-4417
Phone 203-668-6318
Mailing address
9926 52nd St EParrish, FL 34219-4417
Phone 203-668-6318
Authorized official
Angelo S Domingo
Managing Member
2036686318
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