Mario J Fonseca, Md, PA
NPI #1811287667 in South Miami, Florida
Provider Information
- NPI Number
- 1811287667
- Entity Type
- Organization
- Organization Name
- Mario J Fonseca, Md, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 13, 2011
- Last Updated
- Apr 13, 2011
Practice Location
- Address
- 7325 SW 63RD AVE
- Address 2
- SUITE 201
- City
- South Miami
- State
- Florida
- ZIP Code
- 33143-4811
- Phone
- (305) 669-9404
Authorized Official
- Name
- MARIO J FONSECA, M.D.
- Title
- PRESIDENT
- Phone
- (305) 669-9404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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