Riley, Gary Fonta

Riley, Gary Fonta is an sole proprietor health care provider with primary practice located at 2660 Old Bainbridge Rd Apt 1407 , Tallahassee FL 32303-3573. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Riley, Gary Fonta can be contacted via phone (850) 405-5646.

Contact Information

Primary practice address
2660 Old Bainbridge Rd Apt 1407 Tallahassee FL 32303-3573
Phone: (850) 405-5646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1659839322
LBN Legal business name Riley, Gary Fonta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2019
Last updated Mar 12th, 2019 - about 7 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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