Provider Demographics
NPI:1376426213
Name:SWEETING, DOMINIQUE EMERALD (DNP, DBA, MSN, RN)
Entity type:Individual
Prefix:DR
First Name:DOMINIQUE
Middle Name:EMERALD
Last Name:SWEETING
Suffix:
Gender:F
Credentials:DNP, DBA, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 NE 191ST ST # 203439
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3899
Mailing Address - Country:US
Mailing Address - Phone:954-479-4541
Mailing Address - Fax:
Practice Address - Street 1:2789 CROSSFIELD DR
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-8654
Practice Address - Country:US
Practice Address - Phone:954-479-4541
Practice Address - Fax:904-657-2056
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2215432163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse