Individual
BERTHA CARIDAD FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
747 PONCE DE LEON BLVD, SUITE 411, CORAL GABLES, FL 33134-2049
(305) 444-4175
(305) 444-4176
Mailing address
9960 NW 116TH WAY, SUITE 13, MEDLEY, FL 33178-1167
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME101427
FL
2084N0400X
Neurology Physician
Primary
ME101427
FL
Other
Enumeration date
05/30/2007
Last updated
03/24/2021
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