Individual
DR. HUGO BITTAR FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
160 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1720
(954) 620-0011
(954) 620-0238
Mailing address
160 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1720
(954) 620-0011
(954) 620-0238
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
OS10973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009578300
—
FL
01
—
10973
FLORIDA PHYSICIAN STATE LICENSE
FL
Enumeration date
05/28/2010
Last updated
12/05/2022
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