Individual
DR. JUAN CARLOS FONSECA MILIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6850 W 12TH AVE, HIALEAH, FL 33014-5114
(786) 930-3761
(786) 245-0751
Mailing address
2025 SW 84TH CT, MIAMI, FL 33155-1051
(786) 930-3761
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
022867
PR
261QP2300X
Primary Care Clinic/Center
Primary
1499
FL
Other
Enumeration date
09/05/2022
Last updated
08/02/2023
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