GLADYS FONSECA

Contractor

Active Individual
NPI: 1457573123

Practice Address

6550 SW 28TH ST
Miramar, FL 33023

Phone: (305) 986-3114

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes NA (FL)

Frequently Asked Questions

NPI 1457573123 is the National Provider Identifier for GLADYS FONSECA, a Contractor provider located in Miramar, FL. This NPI was enumerated on May 3, 2007.
GLADYS FONSECA practices at 6550 SW 28TH ST, Miramar, FL 33023.

Quick Facts

NPI
1457573123
Type
Individual
Enumerated
May 3, 2007
Last Updated
Jul 9, 2007

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