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Christopher Charles Fanella
Medical Physician Assistant in Miramar, Florida
NPI 1013686914

Christopher Charles Fanella is a Medical Physician Assistant based in Miramar, FL and is specialized in Medical. Christopher Charles Fanella practices in Miramar, FL. The NPI Number for Christopher Charles Fanella is 1013686914 and holds a License No. 9115102 (Florida).

The current practice location address for Christopher Charles Fanella is 3000 Sw 148Th Ave Ste 115, Miramar, FL and can be reached out via phone at 954-438-7000.

Location: 3000 Sw 148Th Ave Ste 115, Miramar, FL, 33027-4181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013686914
Provider Name
Christopher Charles Fanella
Credential
Provider Entity Type
Individual
Gender
Male
Address
3000 Sw 148Th Ave Ste 115, Miramar, FL, 33027-4181
Phone Number
954-438-7000
Fax Number
Provider Enumeration Date
09/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3000 Sw 148Th Ave Ste 115
City
Miramar
State
Florida
Zip
33027-4181
Phone Number
954-438-7000
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Sw 148Th Ave Ste 115
City
Miramar
State
Florida
Zip
33027-4181
Phone Number
954-438-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
9115102 (Florida)
Definition
Definition to come...
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