Individual provider Active NPI

Francelis Ivette Gonzalez, MD

  • Pediatrics Physician
  • Kissimmee, FL
National Provider Identifier
1972580322
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME-0074421 Issued in FL
Practice address
1050 West Carroll Street
Kissimmee, FL 34741-1268
Phone
(407) 518-0078
Fax
(407) 518-0094
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME-0074421 FL Primary

Addresses

Primary practice location

1050 West Carroll Street
Kissimmee, FL 34741-1268

Mailing address

1050 West Carroll Street
Kissimmee, FL 34741-1268
Phone (407) 518-0078

Other practice location 1

1150 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 483-3200

Other practice location 2

2201 North Blvd W
Davenport, FL 33837-8990
Phone (863) 419-0688

Other practice location 3

1804 Oakley Seaver Dr Ste C
Clermont, FL 34711-1925
Phone (352) 242-1021

Other practice location 4

11886 Lake Underhill Rd
Orlando, FL 32825-4436
Phone (407) 447-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME-0074421FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidsville Pediatrics I, P.a. Pediatrics Current Accepting new patients
Kidsville Pediatrics III, P.a. Pediatrics Current Accepting new patients
Family Tree Medical Group, PA Pediatrics PastSince Oct 15, 2016 Accepting new patients
PMG Cardiology Inc Past Accepting new patients
Kidsville Pediatrics II, P.a. Pediatrics Past Accepting new patients
Kidsville Pediatrics IV, P.a. Pediatrics Past Accepting new patients

Locations

1804 Oakley Seaver Dr
Ste C
Clermont, FL 34711
Phone (352) 242-1021

2201 North Blvd W
Ste 2
Davenport, FL 33837
Phone (863) 353-1246

2201 North Blvd W
Davenport, FL 33837
Phone (863) 353-1246

1050 W Carroll St
Kissimmee, FL 34741
Phone (407) 518-0078

11886 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 447-7773

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1972580322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WEST CARROLL STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411268",
            "telephone_number": "407-518-0078",
            "fax_number": "407-518-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WEST CARROLL STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411268",
            "telephone_number": "407-518-0078",
            "fax_number": "407-518-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Cypress Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417560",
            "country_code": "US",
            "telephone_number": "407-483-3200",
            "fax_number": "407-483-3220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378990",
            "country_code": "US",
            "telephone_number": "863-419-0688",
            "fax_number": "863-419-9547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 Oakley Seaver Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111925",
            "country_code": "US",
            "telephone_number": "352-242-1021",
            "fax_number": "352-242-1104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "FRANCELIS",
        "middle_name": "IVETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME-0074421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.