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Individual

ANGELICA FONSECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7000
(866) 607-9776
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7000
(866) 264-8519

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9527451
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11049274
FL

Other

Enumeration date
04/29/2026
Last updated
08/14/2026
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