Search › Florida › 106S00000X
Diane Mera Dominguez
NPI 1992680847 · on the registry since 2025 · sole proprietor
Practice
- Address
- 901 Locke St
Avon Park, FL 33825 - Phone
- (863) 296-8495
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 103K00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-08
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