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Search › Florida › 103K00000X

Carlos Dominguez

NPI 1689233751 · on the registry since 2019 · sole proprietor

Practice

Address
12995 S Cleveland Ave
Fort Myers, FL 33907
Phone
(305) 490-7178
Organisation at this address
Shsswfl2
Bltr Fl Llc
Shs Swfl Llc
Eyemart Express Llc
Jaesen Petretta Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-06

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