Individual
MS. COLETTE E, FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1465 S FORT HARRISON AVE, SUITE 206, CLEARWATER, FL 33756-2505
(727) 442-2962
Mailing address
1465 S FORT HARRISON AVE, SUITE 206, CLEARWATER, FL 33756-2505
(727) 442-2962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 25322
FL
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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