OSCAR J DOMINGUEZ M.D. P.A,
Osteopathic Medicine at 92 St, Miami, FL

License number
Florida ME85157
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. OSCAR J DOMINGUEZ M.D.
Title: OWNER
Phone: (305) 629-2669
Address
Address
8600 SW 92Nd St STE 202, Miami, FL 33156
National Provider ID: 1902933724
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OSCAR J. DOMINGUEZ, M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 13, 2002
Inactive since:
Sep 25, 2009
Addresses:
8600 SW 92 SUITE 202, Miami, FL 33156 (Physical)
8600 SW 92 St, Miami, FL 33156
State ID:
P02000121365
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Oscar J Dominguez President, Treasurer, Director, Secretary, inactive, 1925 Brickell Ave APT D-1506, Miami, FL 33129 (Physical)
Agent:
Carlos X. Rodriguez,370 Minorca Ave SUITE 8, Miami, FL 33134 (Physical)
EIN:
134222706

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