MEDICARE: ANA MARIA DOMINGUEZ APRN

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	363LF0000X	Family Nurse Practitioner	APRN11008402	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902416555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA DOMINGUEZ APRN

Provider Business Mailing Address
First Line	:	111 N ORANGE AVE STE 800
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-2381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5235 SW 99TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7136
Country	:	US
Telephone Number	:	786-477-0395
Fax Number	:

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

Provider Enumeration Date	:	08/07/2020
Last Update Date	:	05/21/2025

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1699063057 — DR. SHAHRYAR TORK MD
Practice Location Address:

7136 MIAMI AVE
CINCINNATI, OH
45243-2617

Practice Phone: 513-513-0460
Practice Fax:

1427323716 — MS. HARRIETT JAQUEAL WALTHOUR
Practice Location Address:

7136 NW 14TH PL
MIAMI, FL
33147-7045

Practice Phone: 305-755-2558
Practice Fax:

1962752014 — MS. PAMELA JEAN MAZZA LMHC
Practice Location Address:

7136 BONITA DR APT 8
MIAMI BEACH, FL
33141-3067

Practice Phone: 917-843-6981
Practice Fax:

1720615800 — MAZZA COUNSELING & CONSULTING
Practice Location Address:

7136 BONITA DR APT 8
MIAMI BEACH, FL
33141-3067

Practice Phone: 917-843-6981
Practice Fax:

1992421515 — LISANDRA JUDITH BAUTA CUBENAS
Practice Location Address:

7136 SW 103RD PL
MIAMI, FL
33173-1377

Practice Phone: 786-470-4624
Practice Fax:

Directions to “ ANA MARIA DOMINGUEZ APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.