NPIMap

Organization Active NPI

Kidsville Pediatrics V, P.a.

  • Pediatrics Physician
  • Kissimmee, FL
National Provider Identifier
1215265343
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0074421 Issued in FL
Legal business name
KIDSVILLE PEDIATRICS V, P.A.
Practice address
1050 W Carroll St
Kissimmee, FL 34741-1268
Phone
(407) 518-0078
Fax
(407) 518-0094
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Dr. Francelis I. Gonzalez, CEONPI 1972580322
Title
Medical Doctor
Phone
(407) 518-0078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0074421 FL Primary

Addresses

Primary practice location

1050 W Carroll St
Kissimmee, FL 34741-1268

Mailing address

1050 W Carroll St
Kissimmee, FL 34741-1268
Phone (407) 518-0078

Other practice location 1

1050 W Carroll St
Kissimmee, FL 34741-1268
Phone (407) 518-0078

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1215265343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W CARROLL ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411268",
            "telephone_number": "407-518-0078",
            "fax_number": "407-518-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W CARROLL ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411268",
            "telephone_number": "407-518-0078",
            "fax_number": "407-518-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Carroll St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347411268",
            "country_code": "US",
            "telephone_number": "407-518-0078",
            "fax_number": "407-518-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDSVILLE PEDIATRICS V, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "FRANCELIS",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "407-518-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0074421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.