Individual
MRS. AIDA Z. FONSECA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 903-3637
Mailing address
20822 JAFFA LN, LAND O LAKES, FL 34637-7449
(813) 929-9755
(813) 903-3637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2387
PR
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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