Angelo S Domingo Jr LLC
Organization Active NPI Psychologist · Parrish, FL
NPI 1285877795 · NPPES record last updated Apr 14, 2009
Key facts
- NPI
- 1285877795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- PY7379 (FL)
- Legal business name
- ANGELO S DOMINGO JR LLC
- Practice address
- 9926 52ND St E
Parrish, FL 34219-4417 - Phone
- (203) 668-6318
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Angelo S Domingo Jr., PSYD
- Title
- Managing Member
- Phone
- (203) 668-6318
National Provider Directory
Locations
5969 Cattleridge Blvd
Sarasota, FL 34232
Phone (941) 343-0880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PY7379 | FL | Yes |
Addresses
Primary practice location
9926 52ND St E
Parrish, FL 34219-4417
Mailing address
9926 52ND St E
Parrish, FL 34219-4417
Phone (203) 668-6318
Other providers in Parrish, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.