ANTONIO RAFAEL FONTANELLA LARA

ENTERPRISE, AL
NPI1952506362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PR  16362)
Enumeration Date2007-06-16
Last Update Date2022-10-04
Business Address
Dr. ANTONIO RAFAEL FONTANELLA LARA M.D.
37 FOX CHASE DR
ENTERPRISE, AL 36330-9339
Phone number: 786-417-1647
Mailing Address
Dr. ANTONIO RAFAEL FONTANELLA LARA M.D.
37 FOX CHASE DR
ENTERPRISE, AL 36330-9339
Phone number: 786-417-1647
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