Dominguez, Lissette Maria
Dominguez, Lissette Maria is an individual health care provider with primary practice located at 2625 Tamiami Trl Suite 5, Port Charlotte FL 33952-6403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dominguez, Lissette Maria can be contacted via phone (941) 764-7999.Contact Information
Primary practice address
2625 Tamiami Trl Suite 5
Port Charlotte FL 33952-6403
Phone: (941) 764-7999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP9248661 | Florida |
Profile Details
NPI number | 1770888141 |
---|---|
LBN Legal business name | Dominguez, Lissette Maria |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2011 |
Last updated | Jan 17th, 2011 - about 14 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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