JOSE CARLOS DOMINGUEZ MD

Allergy and Immunology

Tampa, Florida

Provider NPI: 1871554774

Provider Information:
 JOSE CARLOS DOMINGUEZ MD


Practice Location:
3645 MADACA LN  TAMPA, FL 33618 US
Tel: 813-969-0116  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	FL	ME00555091

Other Provider Identifiers:

Issuer	Number	State	Type
	059950600	FL	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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