Individual provider · Type 1 NPI

Gustavo A. Fonseca, MD

Medical Oncology Physician · Lecanto, FL

NPI number 1063478766 Active

Practice location

521 N Lecanto Hwy
Lecanto, FL 34461-9187

Fax (352) 746-6333

Mailing address

PO Box 102222, Attn: Credentialing
Atlanta, GA 30368-2222

Specialties and licenses

TaxonomyCodeLicense
Hematology (Internal Medicine) Physician 207RH0000XME57124 (FL)
Medical Oncology Physician Primary 207RX0202XME57124 (FL)

Medical Oncology Physician: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

7 other providers at this address

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About NPI 1063478766

Gustavo A. Fonseca, MD's National Provider Identifier is 1063478766, issued on Apr 22, 2006. The primary taxonomy on file is Medical Oncology Physician (207RX0202X), and the practice location is in Lecanto, FL. The record was last updated on Feb 19, 2026.