Individual
CHRISTOPHER JORGE DA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12314 SW 127TH AVE, MIAMI, FL 33186-6579
(786) 595-8080
(786) 533-9381
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 595-8080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME121862
FL
Other
Enumeration date
04/09/2013
Last updated
07/20/2022
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