Organization · NPI-2

Clinisanitas, PC

Family Medicine · Newington, CT

NPI number1821476565
StatusActive
Last updated in NPPESSep 23, 2016

Details

NPI
1821476565
Entity type
Organization (NPI-2)
Legal business name
Clinisanitas, PC
Organization subpart
No
Enumeration date
May 14, 2015
Last updated
Sep 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

196 Kitts Ln
Newington, CT 06111-4250

Phone 305-921-7621 · Fax 305-921-7355

Mailing address

8400 Nw 33rd St
Suite 100
Doral, FL 33122-1937

Phone 305-921-7621 · Fax 305-921-7355

Authorized official

Fernando Fonseca
Ceo
3059217621

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