# CLINISANITAS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821476565
- **Authorized official:** DR. FERNANDO FONSECA M.D. (CEO)
- **Authorized official phone:** (305) 921-7621

## Contact information

- **Practice address:** 196 KITTS LN, NEWINGTON, CT 06111-4250
- **Practice address phone:** (305) 921-7621
- **Practice address fax:** (305) 921-7355
- **Mailing address:** 8400 NW 33RD ST, SUITE 100, DORAL, FL 33122-1937
- **Mailing address phone:** (305) 921-7621
- **Mailing address fax:** (305) 921-7355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 09/23/2016