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Wilson Fonseca Valid NPI

Individual provider · Registered Nurse · Kissimmee, FL

NPI
1699145672
Type
Individual (Type 1)
Primary specialty
Registered Nurse
Specialty group
Nursing Service Providers
Taxonomy code
163W00000X
License number
163W0000X (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2015-10-02
Last updated
2015-10-02
Practice location
4129 Bald Eagle Dr
Kissimmee, FL 34746-2901
(786) 447-4100

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