Maria Eloisa Depadua, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME68809 Issued in FL

Practice address

201 Magnolia Ave SW
Winter Haven, FL 33880-2943

Phone

(866) 234-8534

Fax

(863) 229-7999

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maria.depadua.1@12125.direct.athenahealth.com

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

• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frostproof, FL
  • NPI 1467449660
  Medicare reassignment NPD
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1811796469
  NPD
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1851751549
  NPD
• Central Florida Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Winter Haven, FL
  • NPI 1467752998
  NPD (past)
• Central Florida Health Care Inc

  • Pharmacy
  • Dundee, FL
  • NPI 1679058515
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Bartow, FL
  • NPI 1407615826
  NPD (past)
• Central Florida Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1831232669
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dundee, FL
  • NPI 1063408813
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Avon Park, FL
  • NPI 1063409290
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1386835064
  NPD (past)
• Central Florida Health Care, Inc.

  • Multi-Specialty Clinic/Center
  • Dundee, FL
  • NPI 1720247588
  NPD (past)
• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wauchula, FL
  • NPI 1790116911
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1801880448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COUNTY ROAD 17A W",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252164",
            "telephone_number": "863-452-3060",
            "fax_number": "863-452-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAGNOLIA AVE SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802943",
            "telephone_number": "866-234-8534",
            "fax_number": "863-229-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPADUA",
        "first_name": "MARIA",
        "middle_name": "ELOISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME68809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378200000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca M Denning, LMHC
• Jamie-Anne Dennis
• Dental Associates of Florida (Winter Haven) PLLC
• Dental Solutions of Winter Haven
• Dental View, LLC
• Gerald Derise, CRNA
• Kentoiya Monish Deshazer, RN
• Wendy Deshommes
• Designed for Greatness LLC
• Designed for Greatness LLC

• Pediatrics Physician in Winter Haven, FL
• Providers in Winter Haven, 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 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.