Organization
DENIO O FONSECA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIO O FONSECA (PRESIDENT)
(305) 448-1896
Entity
Organization
Contact information
Practice address
2000 SW 27TH AVE, MIAMI, FL 33145-2546
(305) 448-1896
Mailing address
2000 SW 27TH AVE, MIAMI, FL 33145-2546
(305) 448-1896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME13968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047168200
—
FL
Enumeration date
04/07/2008
Last updated
07/24/2008
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