Individual
ANA CECILIA FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
3456 SW 112TH AVE, MIAMI, FL 33165-3456
(305) 671-3330
Mailing address
3456 SW 112TH AVE, MIAMI, FL 33165-3456
(305) 671-3330
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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