Whalio Doctors

NPI 1457573123

Gladys Maria Fonseca

Practitioner Contractor Miramar, FL

Practice location

Address
6550 SW 28th St, Miramar, FL 33023-3823
Phone
(305) 986-3114
Fax
(954) 364-4882
Mailing address
7333 Miami Lakes Dr #669, Miami Lakes, FL 33014-6903

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence NA (FL)

Registry record

NPI
1457573123
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 May 2007
Record last updated
9 Jul 2007

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.