person
Stanley Domino
Student in an Organized Health Care Education/Training Program in Orlando, Florida
NPI 1720336837

Stanley Domino is a Student in an Organized Health Care Education/Training Program based in Orlando, FL. Stanley Domino practices in Orlando, FL. The NPI Number for Stanley Domino is 1720336837 and holds a License No. IM4999 (Florida).

The current practice location address for Stanley Domino is 10502 Satellite Blvd, Orlando, FL and can be reached out via phone at 407-850-9141 and via fax at 407-850-9687.

Location: 10502 Satellite Blvd, Orlando, FL, 32837-8479
person
Provider Profile Details
NPI Number
1720336837
Provider Name
Stanley Domino
Credential
Provider Entity Type
Individual
Gender
Male
Address
10502 Satellite Blvd, Orlando, FL, 32837-8479
Phone Number
407-850-9141
Fax Number
407-850-9687
Provider Enumeration Date
08/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10502 Satellite Blvd
City
State
Zip
32837-8479
Phone Number
407-850-9141
Fax Number
407-850-9687
person
Provider Business Mailing Address Details
Address
10502 Satellite Blvd
City
State
Zip
32837-8479
Phone Number
407-850-9141
Fax Number
407-850-9687
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
IM4999 (Florida)
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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