Individual
MR. THEODORE JOHN FONFARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
2811 TAMIAMI TRL, STE.A, PORT CHARLOTTE, FL 33952-5173
(941) 629-8808
(941) 629-1025
Mailing address
2811 TAMIAMI TRL, STE.A, PORT CHARLOTTE, FL 33952-5173
(941) 629-8808
(941) 629-1025
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS 3621
FL
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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