Individual
JESUS R FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
8260 W FLAGLER ST STE 1E, MIAMI, FL 33144-2069
(305) 746-8504
Mailing address
8260 W FLAGLER ST STE 1E, MIAMI, FL 33144-2069
(305) 746-8504
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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