Individual provider · Type 1 NPI
Elides Dominguez, CACII
General Practice Physician · Wesley Chapel, FL
NPI number
1124475835
Active
Practice location
2607 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7352
Fax (813) 907-1911
Mailing address
5626 Curry Ford Rd
Orlando, FL 32822-1424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN1111 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Wesley Chapel
About NPI 1124475835
Elides Dominguez, CACII's National Provider Identifier is 1124475835, issued on May 23, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Wesley Chapel, FL. The record was last updated on Aug 11, 2022.