Individual provider · Type 1 NPI

Jerry Lorren Dominic, MD(MBBS IN INDIA)

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

NPI number 1144969395 Active · reactivated Jul 3, 2023

Practice location

University Of Miami Miller School Of Medicine-Jackson M, 1611 NW 12 Avenue
Miami, FL 33136

Call (305) 585-1280 Map

Fax (305) 585-1280

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 1144969395

Jerry Lorren Dominic, MD(MBBS IN INDIA)'s National Provider Identifier is 1144969395, issued on Jun 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Jul 3, 2023.