Dominguez, Jose Antolin

Dominguez, Jose Antolin is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Dominguez, Jose Antolin can be contacted via phone (904) 542-7375.

Contact Information

Primary practice address
2080 Child St Jacksonville FL 32214-5005
Phone: (904) 542-7375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 20055 Maryland

Profile Details

NPI number 1053385559
LBN Legal business name Dominguez, Jose Antolin
Credentials PT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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