Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric Lorenzo Fontana

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467396457

Eric Lorenzo Fontana is a Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone: (843) 692-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1021 Cipriana Dr Ste 100, Myrtle Beach, SC 29572-4621 — (843) 449-7885

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence MAA.176.AA (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467396457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2026
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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