Fontanez Aldea, Richard

Fontanez Aldea, Richard is an individual health care provider with primary practice located at 809 Cr 466 C-201, Lady Lake FL 32159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Fontanez Aldea, Richard can be contacted via phone (352) 775-2055.

Contact Information

Primary practice address
809 Cr 466 C-201 Lady Lake FL 32159
Phone: (352) 775-2055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17117 Puerto Rico
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME139464 Florida

Profile Details

NPI number 1548435969
LBN Legal business name Fontanez Aldea, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2008
Last updated Mar 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548435969 NPPES
Florida MEDICAID 103964700

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