Individual
DR. BORIS FABRICIO ONATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
960 BACK STAGE LANE, LAKE BUENA VISTA, FL 32830
(407) 934-4100
(407) 934-4101
Mailing address
960 BACK STAGE LANE, LAKE BUENA VISTA, FL 32830
(407) 934-4100
(407) 934-4101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME97051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278390800
—
FL
Enumeration date
05/07/2007
Last updated
06/16/2013
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