Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Dominique, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407657463

Jonathan Dominique, MD is a Student in an Organized Health Care Education/Training Program in Plantation, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone: (954) 473-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407657463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address8201 W Broward Blvd, Plantation, FL 33324-2701

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