Individual provider · Type 1 NPI

Domonique Hogan

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1003743105 Active

Practice location

1902 E Hillsborough Avenue
Tampa, FL 33610

Call (813) 230-6814 Map

Mailing address

10914 Banyan Wood Way
Riverview, FL 33579-2343

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003743105

Domonique Hogan's National Provider Identifier is 1003743105, issued on May 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on May 5, 2026.