JUAN CARLOS FONSECA MILIAN

HIALEAH, FL
NPI1336860774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: FL  1499)
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
(Licence: PR  022867)
Enumeration Date2022-09-05
Last Update Date2023-08-02
Business Address
Dr. JUAN CARLOS FONSECA MILIAN MD
6850 W 12TH AVE
HIALEAH, FL 33014-5114
Phone number: 786-930-3761
Mailing Address
Dr. JUAN CARLOS FONSECA MILIAN MD
2025 SW 84TH CT
MIAMI, FL 33155-1051
Phone number: 786-930-3761