Domenech, Nicole A.
Domenech, Nicole A. is an sole proprietor health care provider with primary practice located at 950 First St. South , Winter Haven FL 33880. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Domenech, Nicole A. can be contacted via phone (863) 295-5604.Contact Information
Primary practice address
950 First St. South
Winter Haven FL 33880
Phone: (863) 295-5604
Fax: (863) 295-5398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 19178 | Puerto Rico |
Profile Details
| NPI number | 1518336825 |
|---|---|
| LBN Legal business name | Domenech, Nicole A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Jun 22nd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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