Healthcare Provider Details

I. General information

NPI: 1528795499
Provider Name (Legal Business Name): DISTRICT HEALTH CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9863 SW 184TH ST
PALMETTO BAY FL
33157-6934
US

IV. Provider business mailing address

9863 SW 184TH ST
PALMETTO BAY FL
33157-6934
US

V. Phone/Fax

Practice location:
  • Phone: 305-317-9592
  • Fax: 786-431-2577
Mailing address:
  • Phone: 305-317-9592
  • Fax: 786-431-2577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: TANIA LIZ ROSARIO DOMINGUEZ
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: APRN, FNP-C
Phone: 305-317-9592