Individual
ALBERTO FONTICIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1778 W FLAGLER ST, MIAMI, FL 33135-2017
(305) 541-2327
(305) 541-2656
Mailing address
1778 W FLAGLER ST, MIAMI, FL 33135-2017
(305) 541-2327
(305) 541-2656
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27257
FL
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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