Individual provider Active NPI

Robert Difronzo, M.D.

  • Internal Medicine Physician
  • Longwood, FL
National Provider Identifier
1760498844
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0057429 Issued in FL
Practice address
515 W State Road 434 Ste 110
Longwood, FL 32750-5161
Phone
(407) 830-8600
Fax
(407) 830-5110
NPI assigned
Jul 31, 2006
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0057429 FL Primary

Addresses

Primary practice location

515 W State Road 434 Ste 110
Longwood, FL 32750-5161

Mailing address

515 W State Road 434 Ste 110
Longwood, FL 32750-5161
Phone (407) 830-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825001466 FL Practitioner - Internal Medicine 2264406099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0057429FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heathrow Internal Medicine LLC Internal Medicine Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Robert Difronzo PastSince Dec 15, 2004 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Cypress Medical Associates of SWFL Inc PastSince Sep 10, 2008 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1760498844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 110",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505161",
            "telephone_number": "407-830-8600",
            "fax_number": "407-830-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434 STE 110",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505161",
            "telephone_number": "407-830-8600",
            "fax_number": "407-830-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFRONZO",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0057429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.