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Lissette Maria Dominguez, NP-C
Adult Health Nurse Practitioner in Port Charlotte, Florida
NPI 1770888141

Lissette Maria Dominguez is an Adult Health Nurse Practitioner based in Port Charlotte, FL and is specialized in Adult Health. Lissette Maria Dominguez practices in Port Charlotte, FL and has the professional credentials of NP-C. The NPI Number for Lissette Maria Dominguez is 1770888141 and holds a License No. ARNP9248661 (Florida).

The current practice location address for Lissette Maria Dominguez is 2625 Tamiami Trl, Port Charlotte, FL and can be reached out via phone at 941-764-7999.

Location: 2625 Tamiami Trl, Port Charlotte, FL, 33952-6403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770888141
Provider Name
Lissette Maria Dominguez
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2625 Tamiami Trl, Port Charlotte, FL, 33952-6403
Phone Number
941-764-7999
Fax Number
Provider Enumeration Date
01/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2625 Tamiami Trl
City
Port Charlotte
State
Florida
Zip
33952-6403
Phone Number
941-764-7999
Fax Number
person
Provider Business Mailing Address Details
Address
2625 Tamiami Trl
City
Port Charlotte
State
Florida
Zip
33952-6403
Phone Number
941-764-7999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
ARNP9248661 (Florida)
Definition
Definition to come...
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