Individual provider · Type 1 NPI
Eddy Dominguez, APRN
Family Nurse Practitioner · Hialeah, FL
NPI number
1609042878
Active
Practice location
4175 W 20th Ave
Hialeah, FL 33012-5874
Mailing address
2735 W 52nd St Apt 103
Hialeah, FL 33016-4771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11004646 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609042878
Eddy Dominguez, APRN's National Provider Identifier is 1609042878, issued on May 7, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hialeah, FL. The record was last updated on Dec 11, 2020.