Fonseca Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FONSECA PEDIATRICS LLC

Practice address

2801 17TH St Unit 102
Saint Cloud, FL 34769-4939

Phone

(407) 519-2930

Fax

(407) 556-3565

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Ramon Augusto Fonseca, MDNPI 1700078490

Title

Owner

Phone

(407) 729-6068

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Practitioners 1

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

• Ramon Augusto Fonseca, M.D.

  • Pediatrics Physician
  • Saint Cloud, FL
  • NPI 1700078490
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1881475762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 17TH ST UNIT 102",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694939",
            "telephone_number": "407-519-2930",
            "fax_number": "407-556-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 17TH ST UNIT 102",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694939",
            "telephone_number": "407-519-2930",
            "fax_number": "407-556-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONSECA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-729-6068",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NUMBER",
            "identifier": "V95A6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120425200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorena Llamileth Flores
• Florida Care Medical Center Inc
• Florida Woman Care LLC
• Florida Woman Care, LLC
• Francheska Floyd
• Felipe Fonseca, LMHC, MCAP
• Kaitlyn M Fonseca
• Ramon Augusto Fonseca, M.D.
• Jessica Erin Foor, P.T.A.
• Footprints on the Moon Massage and Bodywork, LLC

• Pediatrics Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.