Clinisanitas, Pc | |
4543 Main St Bridgeport CT 06606-1818 | |
(305) 921-7621 | |
(305) 921-7355 |
Full Name | Clinisanitas, Pc |
---|---|
Speciality | Family Medicine |
Location | 4543 Main St, Bridgeport, Connecticut |
Authorized Official Name and Position | Fernando Fonseca (CEO) |
Authorized Official Contact | 3059217621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinisanitas, Pc 8400 Nw 33rd St Suite 100 Doral FL 33122-1937 Ph: (305) 921-7621 | Clinisanitas, Pc 4543 Main St Bridgeport CT 06606-1818 Ph: (305) 921-7621 |
NPI Number | 1013395755 |
---|---|
Provider Enumeration Date | 05/14/2015 |
Last Update Date | 09/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013395755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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