Individual
DR. RICHARD BONSRA FYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 WAYBOURNE WAY, LAKE MARY, FL 32746-6439
(732) 895-8758
Mailing address
907 WAYBOURNE WAY, LAKE MARY, FL 32746-6439
(732) 895-8758
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-379
FL
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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