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Individual

MR. RENE FONTANEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
7940 VIA DELLAGIO WAY, 142, ORLANDO, FL 32819-5400
(407) 745-4633
(407) 745-4635
Mailing address
7940 VIA DELLAGIO WAY, 142, ORLANDO, FL 32819-5400
(407) 745-4633
(407) 745-4635

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26634
FL

Other

Enumeration date
05/31/2016
Last updated
01/09/2017
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