Individual
JUSTIN GEORGE FONTANINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM, AP
Contact information
Practice address
9070 58TH DR E, SUITE 101, LAKEWOOD RANCH, FL 34202-6110
(941) 752-4838
Mailing address
6301 58TH ST APT 1003, PINELLAS PARK, FL 33781-5513
(727) 547-1956
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2220
FL
Other
Enumeration date
10/30/2006
Last updated
07/08/2007
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