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Wilson Fonseca
NPI 1699145672 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4129 Bald Eagle Dr
Kissimmee, FL 34746 - Phone
- (786) 447-4100
- Fax
- (561) 516-6220
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
- 2015-10-02
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