Victorio, Isabelo Ian Domingo

Victorio, Isabelo Ian Domingo is an sole proprietor health care provider with primary practice located at 4801 S University Dr Ste 104 , Davie FL 33328-3835. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Victorio, Isabelo Ian Domingo can be contacted via phone (954) 707-5200.

Contact Information

Primary practice address
4801 S University Dr Ste 104 Davie FL 33328-3835
Phone: (954) 707-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9415884 Florida

Profile Details

NPI number 1841797842
LBN Legal business name Victorio, Isabelo Ian Domingo
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2018
Last updated Jul 11th, 2020 - about 6 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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