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1962508648
JOSEFINA O FONTANILLS
MIAMI, FL
NPI
1962508648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 96508)
Enumeration Date
2006-09-16
Last Update Date
2021-09-13
Business Address
JOSEFINA O FONTANILLS
101 SW 27TH AVE
MIAMI, FL 33135-1428
Phone number: 305-642-5366
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Mailing Address
JOSEFINA O FONTANILLS
8600 NW 41ST ST
DORAL, FL 33166-6202
Phone number: 305-642-5366
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