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Carmen Leticia Dominguez, MD
Pain Medicine (Anesthesiology) Physician in Daytona Beach, Florida
NPI 1396775334

Carmen Leticia Dominguez is a Pain Medicine (Anesthesiology) Physician based in Daytona Beach, FL and is specialized in Pain Medicine. Carmen Leticia Dominguez practices in Daytona Beach, FL and has the professional credentials of MD. The NPI Number for Carmen Leticia Dominguez is 1396775334 and holds a License No. 25MA07822000 (Florida).

The current practice location address for Carmen Leticia Dominguez is 320 North Clyde Morris Blvd, Daytona Beach, FL and can be reached out via phone at 386-238-3226 and via fax at 386-238-3260.

Location: 320 North Clyde Morris Blvd, Daytona Beach, FL, 32120-9671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396775334
Provider Name
Carmen Leticia Dominguez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
320 North Clyde Morris Blvd, Daytona Beach, FL, 32120-9671
Phone Number
386-238-3226
Fax Number
386-238-3260
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396775334 01 FL TRICARE
P01061992 01 FL RAILROAD
01076 01 FL BCBS
278835700 05 FL
institution
Provider Business Practice Location Address Details
Address
320 North Clyde Morris Blvd
City
Daytona Beach
State
Florida
Zip
32114-2733
Phone Number
386-238-3226
Fax Number
386-238-3260
person
Provider Business Mailing Address Details
Address
320 North Clyde Morris Blvd
City
Daytona Beach
State
Florida
Zip
32114-2733
Phone Number
386-238-3226
Fax Number
386-238-3260
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
25MA07822000 (New Jersey)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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