Individual
EDUARDO FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9929 PINES BLVD, PEMBROKE PINES, FL 33024-6175
(954) 437-8099
Mailing address
9929 PINES BLVD, PEMBROKE PINES, FL 33024-6175
(954) 437-8099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27035
FL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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