Elides Dominguez, CACII Valid NPI

Individual provider · General Practice Physician · Wesley Chapel, FL

NPI

1124475835

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

ACN1111 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2016-05-23

Last updated

2022-08-11