Individual
NELAYDA FONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02006307A
IN
2086S0127X
Trauma Surgery Physician
Primary
02006307A
IN
2086S0127X
Trauma Surgery Physician
OS007236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10119865
RAILROAD MEDICARE
FL
01
—
1101198061
ANTHEM PTAN
IN
05
—
300055542
—
IN
05
—
379880100
—
FL
Enumeration date
10/07/2005
Last updated
03/07/2025
Update your record
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