Individual
DANIEL ROLANDO FUNDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
601 SW 57TH AVE STE C, MIAMI, FL 33144-3974
(786) 308-7607
Mailing address
28 MAJORCA AVE APT 4, CORAL GABLES, FL 33134-4603
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT63103
FL
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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