NPIMap

Organization Active NPI

Lee Vista Pediatrics

Doing business as Marcia Gayoso Pediatrics

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1093955940
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0084749 Issued in FL
Legal business name
LEE VISTA PEDIATRICS
Doing business as
Marcia Gayoso Pediatrics
Practice address
815 Woodbury Rd
Suite 102
Orlando, FL 32828-4515
Phone
(407) 208-9870
Fax
(407) 208-9868
NPI assigned
Mar 4, 2009
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcia Gayoso, MDNPI 1891745576
Title
President
Phone
(407) 208-9870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0084749 FL Primary

Addresses

Primary practice location

815 Woodbury Rd
Suite 102
Orlando, FL 32828-4515

Mailing address

815 Woodbury Rd
Suite 102
Orlando, FL 32828-4515
Phone (407) 208-9870

Other names 1

  • MARCIA GAYOSO PEDIATRICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1095985Lee Vista Pediatrics815 Woodbury Rd Ste 102, Orlando, FL 32828Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

2940 Park Pond Way
Kissimmee, FL 34741

815 Woodbury Rd
Ste 102
Orlando, FL 32828
Phone (407) 208-9870

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1093955940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WOODBURY RD",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284515",
            "telephone_number": "407-208-9870",
            "fax_number": "407-208-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 WOODBURY RD",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284515",
            "telephone_number": "407-208-9870",
            "fax_number": "407-208-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE VISTA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "GAYOSO",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-208-9870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0084749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCIA GAYOSO PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.