Individual provider · Type 1 NPI

Stanley Domino

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

NPI number 1720336837 Active

Practice location

10502 Satellite Blvd, Suite D
Orlando, FL 32837-8479

Call (407) 850-9141 Map

Fax (407) 850-9687

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XIM4999 (FL)

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 1720336837

Stanley Domino's National Provider Identifier is 1720336837, issued on Aug 21, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Aug 21, 2012.