Active NPIIndividual provider

Dr. Manuel A Fonseca, DO

Family Medicine in Florence, South Carolina

NPI Number1790769396
Practice location
1925 Hoffmeyer RD, Florence, SC 29501-4011
Fax
843-674-5146
Last updated
January 28, 2025

Manuel Antonio Fonseca is a Family Medicine based in Florence, SC. Manuel Antonio Fonseca practices in Florence, SC and has the professional credentials of DO. The NPI Number for Manuel Antonio Fonseca is 1790769396 and holds a License No. 0419 (SC). The current practice location address for Manuel Antonio Fonseca is 1925 Hoffmeyer RD, Florence, SC 29501-4011 and can be reached out via phone at 843-679-4214 and via fax at 843-674-5146.

Provider Profile Details

NPI Number
1790769396
Provider Name
Manuel Antonio Fonseca
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1925 Hoffmeyer RD, Florence, SC 29501-4011
Phone Number
843-679-4214
Fax Number
843-674-5146
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
December 6, 2005
Last Update Date
January 28, 2025
Certification Date
January 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1925 Hoffmeyer RD
Florence, SC 29501-4011
Zip
29501-4011
Phone Number
843-679-4214
Fax Number
843-674-5146
Florence, SC 29501Get directions →

Provider Business Mailing Address Details

Address
Po Box 23321
New York, NY 10087-3321
City
New York
State
NY
Zip
10087-3321
Phone Number
843-679-4214

License Information

License Number
0419
License State
SC
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Manuel A Fonseca, DO?

The NPI number of Dr. Manuel A Fonseca, DO is 1790769396. It was assigned on December 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Manuel A Fonseca, DO?

Dr. Manuel A Fonseca, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in SC under license number 0419.

Where does Dr. Manuel A Fonseca, DO practice?

The practice location is 1925 Hoffmeyer RD, Florence, SC 29501-4011. The office can be reached at 843-679-4214 (phone) or 843-674-5146 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790769396 directly on the NPPES registry website.

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