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1124082003
MARIO J FONSECA
SOUTH MIAMI, FL
NPI
1124082003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 65287)
Enumeration Date
2006-04-17
Last Update Date
2015-01-05
Business Address
Dr. MARIO J FONSECA M.D.
7325 SW 63RD AVE SUITE 201
SOUTH MIAMI, FL 33143-4811
Phone number: 305-669-9404
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Mailing Address
Dr. MARIO J FONSECA M.D.
6630 SW 77TH TER
SOUTH MIAMI, FL 33143-4634
Phone number: 305-669-9404
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