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Daniel
Daniel
Dominguez
Registration for resident/hse ph...
Owner
Miami, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Daniel Dominguez
Job Title
Registration for Resident/HSE Physician
Location
Miami, FL, USA
LIC ID
43539
Current License Expiration Date
30/06/2025
Original Date
22/05/2023
Professional Rank Code
TRN
Effective Date
22/05/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Practice Location Address Line 1
20900 Biscayne Blvd.
Practice Location Address City
AVENTURA
Practice Location Address State
FL
Practice Location Address Zipcode
33180
Prescribing Indicator
N
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