Individual
DAVID FELIPE FONTECILLA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
419 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-4000
Mailing address
15328 SUNSET DR APT 13, MIAMI, FL 33193-1617
(786) 488-6171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118407
FL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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