CHRISTOPHER CHARLES FANELLA

MIRAMAR, FL
NPI1013686914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  9115102)
Enumeration Date2021-09-13
Last Update Date2021-10-28
Business Address
CHRISTOPHER CHARLES FANELLA
3000 SW 148TH AVE STE 115
MIRAMAR, FL 33027-4181
Phone number: 954-438-7000
Mailing Address
CHRISTOPHER CHARLES FANELLA
3000 SW 148TH AVE STE 115
MIRAMAR, FL 33027-4181
Phone number: