Christopher Omar Dominguez Cruz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11046877 Issued in FL

Practice address

24 Utrillo PL
Palm Coast, FL 32164-5901

Phone

(386) 347-9873

NPI assigned

Apr 9, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1629910351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 UTRILLO PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645901",
            "telephone_number": "386-347-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 UTRILLO PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645901",
            "telephone_number": "386-347-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ CRUZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11046877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Daniel Doerrfeld, D.C.
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• Adrienne Beth Dolinky, ARNP
• Dolphin Medical Transport LLC
• Donna Griffin LMFT
• Jennifer Dopp, APRN
• Kacia Doris, LCSW
• Matthew Dorman, MD
• Shaquiara L Dormevil, RBT

• Family Nurse Practitioner in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.