Organization
ROYAL PALM PHYSICIAN GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY A FONTANA MD (PRESIDENT)
(239) 451-3143
Entity
Organization
Contact information
Practice address
1585 PINE RIDGE RD STE 2, NAPLES, FL 34109-2105
(239) 451-3143
(239) 451-3145
Mailing address
1585 PINE RIDGE RD STE 2, NAPLES, FL 34109-2105
(239) 451-3143
(239) 451-3145
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME98117
FL
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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