| 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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