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Emmanuel Carlo Mantes Dominguez, MD
Student in an Organized Health Care Education/Training Program in Fort Walton Beach, Florida
NPI 1487413704

Emmanuel Carlo Mantes Dominguez is a Student in an Organized Health Care Education/Training Program based in Fort Walton Beach, FL. Emmanuel Carlo Mantes Dominguez practices in Fort Walton Beach, FL and has the professional credentials of MD. The NPI Number for Emmanuel Carlo Mantes Dominguez is 1487413704 and holds a License No. (Florida).

The current practice location address for Emmanuel Carlo Mantes Dominguez is 1000 Mar Walt Dr, Fort Walton Beach, FL and can be reached out via phone at 850-969-4500.

Location: 1000 Mar Walt Dr, Fort Walton Beach, FL, 32547-6708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487413704
Provider Name
Emmanuel Carlo Mantes Dominguez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Mar Walt Dr, Fort Walton Beach, FL, 32547-6708
Phone Number
850-969-4500
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1000 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6708
Phone Number
850-969-4500
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6708
Phone Number
850-969-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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