PONSOL FOUNTAINBLUE, LLC

SWEETWATER, FL
NPI1881349363
Doing Business AsPONSOL HEALTH
Entity TypeOrganization
Authorized ContactFERNANDO ESPINOSA
President
786-208-0215
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Additional Taxonomies207R00000X Internal Medicine
Enumeration Date2022-02-14
Last Update Date2023-04-19
Business Address
PONSOL FOUNTAINBLUE, LLC
2100 NW 107TH AVE STE 108
SWEETWATER, FL 33172-2506
Phone number: 786-625-7100
Mailing Address
PONSOL FOUNTAINBLUE, LLC
7801 SW 125TH ST
PINECREST, FL 33156-6058
Phone number: