Organization
CLINISANITAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO FONSECA M.D. (CEO)
(305) 921-7621
Entity
Organization
Contact information
Practice address
4543 MAIN ST, BRIDGEPORT, CT 06606-1818
(305) 921-7621
(305) 921-7355
Mailing address
8400 NW 33RD ST, SUITE 100, DORAL, FL 33122-1937
(305) 921-7621
(305) 921-7355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
09/23/2016
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