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Individual

PETER FONTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 955-4425
Mailing address
16881 PIERRE CIR, DELRAY BEACH, FL 33446-3692

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
230419
NY
207P00000X
Emergency Medicine Physician
Primary
ME112731
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02570818
NY
Enumeration date
11/16/2006
Last updated
06/04/2021
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