Christopher Charles Fanella

NPI #1013686914 in Miramar, Florida

Provider Information

NPI Number
1013686914
Entity Type
Individual
Name
Christopher Charles Fanella
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Sep 13, 2021
Last Updated
Oct 28, 2021

Practice Location

Address
3000 SW 148TH AVE STE 115
State
Florida
ZIP Code
33027-4181
Phone
(954) 438-7000

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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