Mario J Fonseca, Md, Pa

LBN: Mario J Fonseca, Md, Pa
Mario J Fonseca, Md, Pa is an health care organization with primary practice located at 7325 Sw 63Rd Ave Suite 201, South Miami FL 33143-4811. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mario J Fonseca, Md, Pa can be contacted via phone (305) 669-9404, or through Fonseca, Mario J via phone (305) 669-9404.

Contact Information

Primary practice address
7325 Sw 63Rd Ave Suite 201 South Miami FL 33143-4811
Phone: (305) 669-9404
Fax: (305) 669-9660
Website:
Map and Directions
Authorized official contact:
Name: Fonseca, Mario J Doctor of Medicine (MD)
Phone: (305) 669-9404

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 65287 Florida

Profile Details

NPI number 1811287667
LBN Legal business name Mario J Fonseca, Md, Pa
DBA Doing business as
Authorized official Fonseca, Mario J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2011
Last updated Apr 13th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811287667 NPPES
Florida MEDICAID 374540600

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