Organization
FONSECA A. SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MIGUEL FONSECA ARAYA (OWNER)
(954) 870-2159
Entity
Organization
Contact information
Practice address
100 NE 15TH ST STE 209, HOMESTEAD, FL 33030-4581
(954) 870-2159
Mailing address
100 NE 15TH ST STE 209, HOMESTEAD, FL 33030-4581
(954) 870-2159
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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