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Lissette Dominguez, APRN
Family Nurse Practitioner in Miami, Florida
NPI 1710505482

Lissette Dominguez is a Family Nurse Practitioner based in Miami, FL and is specialized in Family. Lissette Dominguez practices in Miami, FL and has the professional credentials of APRN. The NPI Number for Lissette Dominguez is 1710505482 and holds a License No. 11006296 (Florida).

The current practice location address for Lissette Dominguez is 11126 Nw 4Th Ter, Miami, FL and can be reached out via phone at 059-109-5993.

Location: 11126 Nw 4Th Ter, Miami, FL, 33186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710505482
Provider Name
Lissette Dominguez
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
11126 Nw 4Th Ter, Miami, FL, 33186
Phone Number
059-109-5993
Fax Number
Provider Enumeration Date
07/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11126 Nw 4Th Ter
City
Miami
State
Florida
Zip
33172-3639
Phone Number
059-109-5993
Fax Number
person
Provider Business Mailing Address Details
Address
11126 Nw 4Th Ter
City
Miami
State
Florida
Zip
33172-3639
Phone Number
059-109-5993
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11006296 (Florida)
Definition
Definition to come...
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