Ponsol Fountainblue, LLC
NPI #1881349363 in Sweetwater, Florida
Provider Information
- NPI Number
- 1881349363
- Entity Type
- Organization
- Organization Name
- Ponsol Fountainblue, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 14, 2022
- Last Updated
- Jan 22, 2026
Practice Location
- Address
- 2100 NW 107TH AVE STE 108
- City
- Sweetwater
- State
- Florida
- ZIP Code
- 33172-2506
- Phone
- (786) 625-7100
Authorized Official
- Name
- PETER JOSEPH
- Title
- PRESIDENT
- Phone
- (786) 625-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Clinic/Center |
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