Dominise, Virgil

Dominise, Virgil is an sole proprietor health care provider with primary practice located at 1010 Carpenters Way , Lakeland FL 33809-3926. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Dominise, Virgil can be contacted via phone (863) 815-0488.

Contact Information

Primary practice address
1010 Carpenters Way Lakeland FL 33809-3926
Phone: (863) 815-0488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1942327101
LBN Legal business name Dominise, Virgil
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jan 20th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942327101 NPPES
Florida Other OT 12532 PROFESSIONAL LICENSE

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