Kidsville Pediatrics IV, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME-0074421 Issued in FL

Legal business name

KIDSVILLE PEDIATRICS IV, P.A.

Practice address

11886 Lake Underhill Rd
Orlando, FL 32825-4436

Phone

(407) 447-7773

Fax

(407) 447-7804

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Francelis I. Gonzalez, MEDICAL DOCTORNPI 1972580322

Title

Ceo

Phone

(407) 447-7773

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francelis Ivette Gonzalez, MD

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1972580322
  NPD (past) Authorized official
• Carlos Alexis Estrella Gonzalez, M.D.

  • Pediatrics Physician
  • Clermont, FL
  • NPI 1073843991

  Single Specialty

  NPD (past)
• Michelle Denisse Herrera, M.D

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1659724151
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1508955212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11886 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254436",
            "telephone_number": "407-447-7773",
            "fax_number": "407-447-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11886 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254436",
            "telephone_number": "407-447-7773",
            "fax_number": "407-447-7804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11886 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328254436",
            "country_code": "US",
            "telephone_number": "407-447-7773",
            "fax_number": "407-447-7804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12315 Lake Underhill Rd",
            "address_2": "Suite-B",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328284507",
            "country_code": "US",
            "telephone_number": "407-447-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDSVILLE PEDIATRICS IV, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "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": "CEO",
        "authorized_official_telephone_number": "407-447-7773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME-0074421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274349300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidoz Therapy Zone LLC
• Kids Neuro Care LLC
• Kids Therapy ABA LLC
• Kids-Medical
• Kidskidneydoc LLC
• Kidsville Pediatrics VI, PA After Hours Clinic
• Kidz Choice Pediatric Dentistry of Central Florida
• Kidzmd, LLC
• Sara Louise Kiedinger, CCC-SLP
• Allison Kiefer, DNP, CRNA

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• 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.
• 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.