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1811287667
MARIO J FONSECA, MD, PA
SOUTH MIAMI, FL
NPI
1811287667
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Entity Type
Organization
Authorized Contact
MARIO J FONSECA
President
305-669-9404
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 65287)
Enumeration Date
2011-04-13
Last Update Date
2011-04-13
Business Address
MARIO J FONSECA, MD, PA
7325 SW 63RD AVE SUITE 201
SOUTH MIAMI, FL 33143-4811
Phone number: 305-669-9404
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Mailing Address
MARIO J FONSECA, MD, PA
7325 SW 63RD AVE SUITE 201
SOUTH MIAMI, FL 33143-4811
Phone number: 305-669-9404
Copy
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