| Fonort.llc | |
|
2300 N Commerce Pkwy Ste 113 Weston FL 33326-3255 | |
| (347) 571-4429 | |
| Not Available |
| Full Name | Fonort.llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 N Commerce Pkwy Ste 113, Weston, Florida |
| Authorized Official Name and Position | Nubia Fonseca Ortiz (INTERNAL MEDICINE) |
| Authorized Official Contact | 3475714429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fonort.llc 129 Montclaire Dr Weston FL 33326-3587 Ph: (347) 571-4429 | Fonort.llc 2300 N Commerce Pkwy Ste 113 Weston FL 33326-3255 Ph: (347) 571-4429 |
| NPI Number | 1205398575 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205398575 | NPI | - | NPPES |
| 004344400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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