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Contact Information

ERIK DOMINGUEZ
1707 ORLANDO CENTRAL PKWY STE 480
ORLANDO, FL32809-5785
 Phone: 407-382-9079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ERIK DOMINGUEZ · (Male)

NPI Number 1215606652
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2021
Last updated 09/09/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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