Gustavo A Fonseca MD

NPI 1063478766 - Internal Medicine - 207RH0003X

NPI Details
NPI 1063478766
Gender Male
Enumeration Date 04/22/2006
Last Updated 02/09/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
521 N LECANTO HWY
FLORIDA CANCER SPECIALISTS P L
LECANTO FL, 34461-9187, US
Phone (352) 746-0707
Fax (352) 746-6333
Business Location
4371 VERONICA S SHOEMAKER BLVD
ATTN: CREDENTIALING
FORT MYERS FL, 33916-2216, US
Phone (239) 274-8200
Fax (239) 278-3350
Toxanomy
Taxonomy Code 207RH0003X
License State Florida
License Number ME0057124
Remove 1063478766 NPI Number
 

According to our database, Dr. Gustavo A Fonseca MD NPI is 1063478766, taxonomy code is 207RH0003X and license number is ME0057124, license state is located at Florida. Gustavo A Fonseca MD physically located at 521 N Lecanto Hwy, Lecanto FL, 34461-9187. NPI Number Gustavo A Fonseca MD has the Individual type.

Sponsored links

1063478766 NPI number is provided on an as is basis without warranty of any kind. 1063478766 is maintained by the National Plan & Provider Enumeration System. The contents of Gustavo A Fonseca MD are for informational purposes only.