Dominguez, Maryann

Dominguez, Maryann is an sole proprietor health care provider with primary practice located at 4130 Sw 113Th Ave , Miami FL 33165-4644. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Dominguez, Maryann can be contacted via phone (786) 470-9273.

Contact Information

Primary practice address
4130 Sw 113Th Ave Miami FL 33165-4644
Phone: (786) 470-9273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS 1258 Florida

Profile Details

NPI number 1144679812
LBN Legal business name Dominguez, Maryann
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2016
Last updated Nov 2nd, 2016 - about 9 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.

Request for update

Popular Providers