MEDICARE: DR. MARIA DOMINGUEZ PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS70366	FL

General Provider Information

NPI Number	:	1144165549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA DOMINGUEZ PHARMD

Provider Business Mailing Address
First Line	:	1723 E YOUNG CIR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1723 E YOUNG CIR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-6878
Country	:	US
Telephone Number	:	954-922-1553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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