Individual
MISS ELIZABETH DE LA CARIDAD FONTAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8932 SW 97TH AVE, MIAMI, FL 33176-1936
(305) 270-3435
Mailing address
8932 SW 97TH AVE, MIAMI, FL 33176-1936
(305) 270-3435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104506
FL
363AM0700X
Medical Physician Assistant
PA-C 18695
CA
Other
Enumeration date
03/10/2007
Last updated
06/28/2016
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