Fernandez Dominguez, Osvaldo Antonio

Fernandez Dominguez, Osvaldo Antonio is an sole proprietor health care provider with primary practice located at 3621 Sw 107Th Ave , Miami FL 33165-3636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Fernandez Dominguez, Osvaldo Antonio can be contacted via phone (855) 226-6633.

Contact Information

Primary practice address
3621 Sw 107Th Ave Miami FL 33165-3636
Phone: (855) 226-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME106374 Florida

Profile Details

NPI number 1821310632
LBN Legal business name Fernandez Dominguez, Osvaldo Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2010
Last updated Jan 9th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821310632 NPPES
Florida MEDICAID 002095400

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