THEODORE JOHN FONFARA

PORT CHARLOTTE, FL
NPI1992141147
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: FL  AS 3621)
Enumeration Date2013-05-15
Last Update Date2013-05-15
Business Address
Mr. THEODORE JOHN FONFARA HAS
2811 TAMIAMI TRL STE.A
PORT CHARLOTTE, FL 33952-5173
Phone number: 941-629-8808
Mailing Address
Mr. THEODORE JOHN FONFARA HAS
2811 TAMIAMI TRL STE.A
PORT CHARLOTTE, FL 33952-5173
Phone number: 941-629-8808