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Individual

CARLO PONTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4823 NW 91ST WAY, CORAL SPRINGS, FL 33067-1908
(954) 702-9672
(954) 702-9672
Mailing address
4823 NW 91ST WAY, CORAL SPRINGS, FL 33067-1908
(800) 243-3839
(954) 839-2569

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101018432
MI
207L00000X
Anesthesiology Physician
Primary
DO1641
NV
207L00000X
Anesthesiology Physician
OS12336
FL

Other

Enumeration date
07/09/2009
Last updated
05/16/2019
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