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General NPI Number Information
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NPI Number | 1528795499
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Entity Type | Organization
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Legal Business Name | DISTRICT HEALTH CENTERS LLC
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 9863 SW 184TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-6934
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Country | US
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Telephone | 305-317-9592
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Fax | 786-431-2577
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Provider Business Mailing Address
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Address Line | 9863 SW 184TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-6934
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Country | US
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Telephone | 305-317-9592
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Fax | 786-431-2577
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | TANIA LIZ ROSARIO DOMINGUEZ
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Credential | APRN, FNP-C
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Telephone | 305-317-9592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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