JOSE C DOMINGUEZ MD PA
Osteopathic Medicine at Habana Ave, Tampa, FL

License number
Florida ME12573
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: DR. JOSE CARLOS DOMINGUEZ SR. M.D.
Title: PRESIDENT
Phone: (813) 877-9449
Address
Address
4600 N Habana Ave SUITE 20, Tampa, FL 33614
National Provider ID: 1073842084
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jose C. Dominguez M.D., PA

4600 N Habana Ave, Tampa, FL 33614

Status:
Inactive
Registration:
Aug 28, 1968
State ID:
600434
Business type:
Domestic for Profit Corporation
Directors:
Jose C. Dominguez President, Director, Vice President, inactive,Anthony A. Fernandez Director, inactive

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