Organization
FONSECA PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON AUGUSTO FONSECA MD (OWNER)
(407) 729-6068
Entity
Organization
Contact information
Practice address
2801 17TH ST UNIT 102, SAINT CLOUD, FL 34769-4939
(407) 519-2930
(407) 556-3565
Mailing address
2801 17TH ST UNIT 102, SAINT CLOUD, FL 34769-4939
(407) 519-2930
(407) 556-3565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120425200
—
FL
01
—
V95A6
BLUE CROSS BLUE SHIELD NUMBER
FL
Enumeration date
10/09/2023
Last updated
04/11/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up