SearchFlorida376J00000X

Dominique Green

NPI 1396583613 · on the registry since 2024 · sole proprietor

Practice

Address
122 E Main St # 324
Lakeland, FL 33801
Phone
(863) 247-0273
Fax
(863) 291-3767

Registry record

Primary taxonomy
376J00000X
376J00000X
Sex
Female
Record last updated
2024-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida