# NEONATOLOGY CERTIFIED LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205475795
- **Authorized official:** ALFREDO B CARTAYA (MD)
- **Authorized official phone:** (954) 394-1990

## Contact information

- **Practice address:** 11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
- **Practice address phone:** (954) 394-1990
- **Mailing address:** 11161 STATE ROAD 70 E STE 110-135, LAKEWOOD RANCH, FL 34202-9407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2019
- **Last updated:** 12/31/2019
