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1245569938
NUBIA FONSECA ORTIZ
DAYTONA BEACH, FL
NPI
1245569938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME111318)
Enumeration Date
2009-12-09
Last Update Date
2011-12-13
Business Address
-- NUBIA FONSECA ORTIZ MD
301 MEMORIAL MEDICAL PARKWAY
DAYTONA BEACH, FL 32117-5167
Phone number: 386-231-6000
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Mailing Address
-- NUBIA FONSECA ORTIZ MD
2555 S ATLANTIC AVE AP 1804
DAYTONA BEACH, FL 32118-5546
Phone number: 347-571-4429
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