DR. Ilya Fonarov, D.O.

NPI #1679584098 in Miramar, Florida

Provider Information

NPI Number: 1679584098
Entity Type: Individual
Name: DR. Ilya Fonarov, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: D.O.
Enumeration Date: Aug 10, 2006
Last Updated: Jun 14, 2024

Practice Location

Address: 12955 SW 43RD CT
City: Miramar
State: Florida
ZIP Code: 33027-3182
Phone: (305) 829-1494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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