Fonort.LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FONORT.LLC

Practice address

2300 N Commerce Pkwy Ste 113
Weston, FL 33326-3255

Phone

(347) 571-4429

NPI assigned

Apr 4, 2019

Last updated

Apr 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nubia Fonseca Ortiz, MDNPI 1245569938

Title

Internal Medicine

Phone

(347) 571-4429

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Nubia Fonseca Ortiz, MD

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1245569938
  Authorized official Same address or phone

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1205398575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MONTCLAIRE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263587",
            "telephone_number": "347-571-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 113",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263255",
            "telephone_number": "347-571-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONORT.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "FONSECA ORTIZ",
        "authorized_official_first_name": "NUBIA",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "347-571-4429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004344400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Weston, FL
• Providers in Weston, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.