Individual provider · Type 1 NPI

Johanny Lopez Dominguez, MD

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

NPI number 1972187086 Active

Practice location

52 W Underwood St
Orlando, FL 32806-1110

Call (321) 841-5145 Map

Mailing address

9745 Touchton Rd Unit 1530
Jacksonville, FL 32246-1513

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X35293 (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 1972187086

Johanny Lopez Dominguez, MD's National Provider Identifier is 1972187086, issued on May 6, 2021. 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 Jun 14, 2022.