Dominguez, Marisela
Dominguez, Marisela is an individual health care provider with primary practice located at 5350 Spring Hill Dr , Spring Hill FL 34606-4562. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Dominguez, Marisela can be contacted via phone (352) 688-8116.Contact Information
Primary practice address
5350 Spring Hill Dr
Spring Hill FL 34606-4562
Phone: (352) 688-8116
Fax: (352) 686-9477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-091349 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME102787 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME102787 | Florida |
Profile Details
| NPI number | 1205949104 |
|---|---|
| LBN Legal business name | Dominguez, Marisela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1205949104 | NPPES |
| Florida | MEDICAID | 000431600 |
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