Search › Florida › 163W00000X
Manuel Fonseca
NPI 1366905697 · on the registry since 2019 · sole proprietor
Practice
- Address
- 7270 Sw 4th St
Miami, FL 33144 - Phone
- (786) 760-4656
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida