Individual
ANA IVONNE FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14416 SW 46TH TER, MIAMI, FL 33175-6834
(786) 210-5169
Mailing address
14416 SW 46TH TER, MIAMI, FL 33175-6834
(786) 210-5169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11013883
FL
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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