1881475762 NPI number — FONSECA PEDIATRICS LLC

Table of content: (NPI 1881475762)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881475762 NPI number — FONSECA PEDIATRICS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FONSECA PEDIATRICS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881475762
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2801 17TH ST UNIT 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT CLOUD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34769-4939
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-519-2930
Provider Business Mailing Address Fax Number:
407-556-3565

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2801 17TH ST UNIT 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT CLOUD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34769-4939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-519-2930
Provider Business Practice Location Address Fax Number:
407-556-3565
Provider Enumeration Date:
10/09/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FONSECA
Authorized Official First Name:
RAMON
Authorized Official Middle Name:
AUGUSTO
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
407-729-6068

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: V95A6 . This is a "BLUE CROSS BLUE SHIELD NUMBER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 120425200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".