Angelo S Domingo Jr Llc | |
9926 52nd St E Parrish FL 34219-4417 | |
(203) 668-6318 | |
Not Available |
Full Name | Angelo S Domingo Jr Llc |
---|---|
Speciality | Psychologist |
Location | 9926 52nd St E, Parrish, Florida |
Authorized Official Name and Position | Angelo S Domingo (MANAGING MEMBER) |
Authorized Official Contact | 2036686318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Angelo S Domingo Jr Llc 9926 52nd St E Parrish FL 34219-4417 Ph: (203) 668-6318 | Angelo S Domingo Jr Llc 9926 52nd St E Parrish FL 34219-4417 Ph: (203) 668-6318 |
NPI Number | 1285877795 |
---|---|
Provider Enumeration Date | 04/14/2009 |
Last Update Date | 04/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285877795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY7379 (Florida) | Primary |
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