Individual
KHRISTEL A. FONSECA-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2100 VIA BELLA BLVD STE 201, LAND O LAKES, FL 34639-5429
(813) 872-1234
(813) 355-5066
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003880
FL
Other
Enumeration date
09/09/2019
Last updated
10/11/2019
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