Individual
DEBRA ANN FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 BAY SHORE RD, SARASOTA, FL 34243-2101
(518) 496-6994
Mailing address
3100 HARBOR BLVD APT 101, PORT CHARLOTTE, FL 33952-6701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4763
FL
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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