Individual
RICHARD FONTANEZ ALDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 CR 466, C-201, LADY LAKE, FL 32159
(352) 775-2055
Mailing address
3951 NW 48TH TER STE 211, GAINESVILLE, FL 32606-7230
(352) 265-4450
(352) 627-4404
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME139464
FL
208D00000X
General Practice Physician
17117
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103964700
—
FL
Enumeration date
04/27/2008
Last updated
03/06/2023
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