Individual
DR. VIRGINIA ALFONSO FUNDORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1311 N CHURCH AVE STE 102, TAMPA, FL 33607-2484
(813) 448-3088
Mailing address
1311 N CHURCH AVE STE 102, TAMPA, FL 33607-2484
(813) 448-3088
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11289
FL
Other
Enumeration date
10/19/2021
Last updated
05/12/2022
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