Individual
RICARDO KONAGESKI DA FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6039 SAVANNA OAK ALY, WINDERMERE, FL 34786-7421
(407) 340-0926
Mailing address
6039 SAVANNA OAK ALY, WINDERMERE, FL 34786-7421
(407) 340-0926
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-464
WI
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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