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FONSECA PEDIATRICS LLC
NPI 1881475762
Pediatrics in Saint Cloud, FL

Active since October 09, 2023CLIA 10D2304102 · Waiver
2801 17TH ST UNIT 102, SAINT CLOUD, FL 34769(407) 519-2930(407) 556-3565 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Oct 9, 2023 (2 updates tracked since 2023).

About Fonseca Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FONSECA PEDIATRICS LLC (NPI 1881475762) is a healthcare organization registered as a pediatrics in Saint Cloud, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Ramon Augusto Fonseca, Owner, as its authorized official.

NPPES Registry Identity

NPI1881475762
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFONSECA PEDIATRICS LLC
Location Address2801 17TH ST UNIT 102Saint Cloud, FL 34769-4939
Mailing Address2801 17th St Unit 102Saint Cloud, FL 34769-4939 · (407) 519-2930 · Fax (407) 556-3565
Phone(407) 519-2930
Fax(407) 556-3565
Organization SubpartNo
Authorized OfficialRamon Augusto FonsecaOwner · (407) 729-6068
Enumeration DateOctober 9, 2023
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1881475762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2801 17TH ST UNIT 102, Saint Cloud, FL 34769
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Other Identifiers 2

OtherV95A6FL · Blue Cross Blue Shield Number
Medicaid120425200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2304102

Fonseca Pediatrics LLC · Saint Cloud, FL
Active · expires May 6, 2028
CLIA Number10D2304102
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorRamon A. Fonseca
Laboratory Phone(407) 519-2930
Laboratory LocationFonseca Pediatrics LLC2801 17th Street Unit 102, Saint Cloud, FL 34769
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMON AUGUSTO FONSECA M.D.
Pediatrics
2801 17TH ST UNIT 102
SAINT CLOUD, FL 34769
Osceola County (407) 519-2930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fonseca Pediatrics LLC's NPI number?

The NPI number for Fonseca Pediatrics LLC is 1881475762. It was assigned to this organization in the NPPES registry on October 9, 2023.

Where is Fonseca Pediatrics LLC located?

Fonseca Pediatrics LLC is located at 2801 17th St Unit 102, Saint Cloud, FL 34769. The listed phone number is (407) 519-2930.

What is Fonseca Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Fonseca Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2304102) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fonseca Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Fonseca Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fonseca Pediatrics LLC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.