Individual
DR. FERNANDA SAMIRA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8750 SW 144TH ST STE 100, PALMETTO BAY, FL 33176-7229
(786) 596-3840
Mailing address
8750 SW 144TH ST STE 100, PALMETTO BAY, FL 33176-7229
(786) 596-3840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69878
CT
207R00000X
Internal Medicine Physician
Primary
ME156325
FL
Other
Enumeration date
03/22/2019
Last updated
04/08/2023
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