Individual
MISS MARIZOL FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(407) 851-5600
(407) 438-9561
Mailing address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(407) 816-5700
(407) 438-9561
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103289
FL
Other
Enumeration date
07/31/2005
Last updated
06/18/2023
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