Dominguez, Laura Marie
Dominguez, Laura Marie is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Dominguez, Laura Marie can be contacted via phone (954) 659-5000.Contact Information
Primary practice address
2950 Cleveland Clinic Blvd
Weston FL 33331-3609
Phone: (954) 659-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | P9329 | Texas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 143704 | Florida |
Profile Details
| NPI number | 1649407925 |
|---|---|
| LBN Legal business name | Dominguez, Laura Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2009 |
| Last updated | Jun 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649407925 | NPPES |
| Texas | Other | 336345902 | CSHCN |
| Texas | MEDICAID | 336345901 | CSHCN |
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