SearchFlorida237700000X

Theodore Fonfara, HAS

NPI 1992141147 · on the registry since 2013 · sole proprietor

Practice

Address
2811 Tamiami Trl
Ste.A
Port Charlotte, FL 33952
Phone
(941) 629-8808
Fax
(941) 629-1025
Organisation at this address
Stephen M. Ross
Greatest Healthcare
Sar Medical Institute Llc
Jeffrey Mark Greenberg Md Pa
Charlotte Harbor Wellness P A
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-15

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