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Search › Florida › 225100000X

Juan Dominic Antolin

NPI 1922550763 · on the registry since 2016 · sole proprietor

Practice

Address
1580 Sawgrass Corporate Pkwy
Suite 200
Sunrise, FL 33323
Phone
(800) 886-1808
Organisation at this address
Medpro Healthcare Staffing
Medpro Healthcare Staffing
Eden Wellness Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
196

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
225100000X
Licence states on file
NM, CO, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-27

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