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PONSOL FOUNTAINBLUE, LLC

Clinic/Center

NPI: 1881349363Organization

Specialties, Licenses & Credentials

Internal Medicine Physician

Internal Medicine

Code: 207R00000X

Clinic/CenterPrimary

Clinic/Center

Code: 261Q00000X

Contact & Hours

Address
2100 NW 107TH AVE STE 108
SWEETWATER, FL 33172

Quick Facts

NPI
1881349363
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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