NPI 1013395755

Clinisanitas, PC

Organisation Family Medicine Physician Bridgeport, CT

Practice location

Address: 4543 Main St, Bridgeport, CT 06606-1818
Phone: (305) 921-7621
Fax: (305) 921-7355
Mailing address: 8400 NW 33rd St Suite 100, Doral, FL 33122-1937

Authorised official

Name: Fernando Fonseca
Title: Ceo
Phone: (305) 921-7621

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Connecticut →

Registry record

NPI: 1013395755
Entity type: Organization
NPI issued: 14 May 2015
Record last updated: 23 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.