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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FELIPE EMILIO DOMINGUEZ

Active Sole Proprietor

FELIPE EMILIO DOMINGUEZ is a Clinical Medical Laboratory healthcare provider located in MELBOURNE, Florida. NPI 1255451712 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · MELBOURNE, FL

Registration Details

NPI Number
1255451712
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2007 (19.400380963692 yrs)
Last Updated
Nov 10, 2022
Licenses
ME48985 (FL)
ME 48985 (FL)
Sole Proprietor
Yes

Practice Information

Address
3030 VENTURE LN
STE. 108
MELBOURNE, FL, 329348172
Browse FL providers · Browse ZIP 32934
Phone
3212535197
Fax
3212535199
Primary Specialty
Clinical Medical Laboratory
291U00000X
Additional Specialty
Clinical Medical Laboratory
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.