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

Shelly Fonseca

Individual provider Physical Therapist · NPI 1174060305

Shelly Fonseca is a Physical Therapist in Lutz, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

19008 Avenue Bayonnes
Lutz, FL 33558-5356
Phone: (305) 469-5014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10331 (FL)

Record details

NPI number1174060305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2017
Last updated in NPPESJanuary 26, 2017

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