Individual provider · Type 1 NPI

Michelle Dominguez

Surgical Physician Assistant · Orlando, FL

NPI number 1679458137 Active

About NPI 1679458137

Michelle Dominguez's National Provider Identifier is 1679458137, issued on Aug 6, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Jan 28, 2026.