Active NPI
Carmona and Dennstedt MD PA
- Anatomic Pathology & Clinical Pathology Physician
- Titutsville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- CARMONA AND DENNSTEDT MD PA
- Practice address
- 951 N Washington Ave
Titutsville, FL 32796 - Phone
- (321) 268-6111
- NPI assigned
- Mar 30, 2006
- Last updated
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pedro Carmona, MD
- Title
- President
- Phone
- (321) 268-6111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary |
Addresses
Primary practice location
951 N Washington Ave
Titutsville, FL 32796
Mailing address
2555 Ponce Deleon Blvd
4TH Floor
Coral Gables, FL 33134
Phone (305) 702-5135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98036 | Other | FL | BCBSFL GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
657 Brevard Ave
Cocoa, FL 32922
Phone (407) 632-6880
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Titusville, FL
- NPI 1962463802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1952362899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 PONCE DELEON BLVD",
"address_2": "4TH FLOOR",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-702-5135",
"fax_number": "305-441-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N WASHINGTON AVE",
"city": "TITUTSVILLE",
"state": "FL",
"postal_code": "32796",
"telephone_number": "321-268-6111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMONA AND DENNSTEDT MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-30",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "CARMONA",
"authorized_official_first_name": "PEDRO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-268-6111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL GROUP NUMBER",
"identifier": "98036",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titutsville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.