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Individual

DR. VIRGIL ANTHONY PONZOLI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4191 SAWGRASS POINT DR UNIT 210, BONITA SPRINGS, FL 34134-2945
(239) 390-2715
Mailing address
183 WINDSONG LN SW, LILBURN, GA 30047-3901
(770) 262-0506

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
011516
FL

Other

Enumeration date
05/09/2012
Last updated
05/09/2012
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