Dominguez, Michelle Ashley

Dominguez, Michelle Ashley is an individual health care provider with primary practice located at 1573 W Fairbanks Ave Ste 100 , Winter Park FL 32789-4679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dominguez, Michelle Ashley can be contacted via phone (407) 896-8097.

Contact Information

Primary practice address
1573 W Fairbanks Ave Ste 100 Winter Park FL 32789-4679
Phone: (407) 896-8097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11029394 Florida

Profile Details

NPI number 1699548008
LBN Legal business name Dominguez, Michelle Ashley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2023
Last updated May 9th, 2024 - about last year

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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