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Mr. Eddy Dominguez, MA
Massage Therapist in Miami, Florida
NPI 1447533252

Eddy Dominguez is a Massage Therapist based in Miami, FL. Eddy Dominguez practices in Miami, FL and has the professional credentials of MA. The NPI Number for Eddy Dominguez is 1447533252 and holds a License No. MA46952 (Florida).

The current practice location address for Eddy Dominguez is 1535 Sw 122Nd Ave, Miami, FL and can be reached out via phone at 786-470-4698.

Location: 1535 Sw 122Nd Ave, Miami, FL, 33184-2837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447533252
Provider Name
Eddy Dominguez
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1535 Sw 122Nd Ave, Miami, FL, 33184-2837
Phone Number
786-470-4698
Fax Number
Provider Enumeration Date
09/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA46952 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1535 Sw 122Nd Ave
City
Miami
State
Florida
Zip
33184-2837
Phone Number
786-470-4698
Fax Number
person
Provider Business Mailing Address Details
Address
1535 Sw 122Nd Ave
City
Miami
State
Florida
Zip
33184-2837
Phone Number
786-470-4698
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA46952 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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