Individual
ERNEST FONTECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3140 S FALKENBURG RD STE 302, RIVERVIEW, FL 33578-2594
(813) 660-6400
(813) 660-6699
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 660-6400
(813) 660-6699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057972
IL
207R00000X
Internal Medicine Physician
25MA10668500
NJ
207R00000X
Internal Medicine Physician
A139358
CA
207R00000X
Internal Medicine Physician
Primary
ME166594
FL
Other
Enumeration date
07/18/2010
Last updated
03/05/2024
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