Ramon Augusto Fonseca, MD | |
2801 17th St Unit 102, Saint Cloud, FL 34769-4939 | |
(407) 519-2930 | |
(407) 556-3565 |
Full Name | Ramon Augusto Fonseca |
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Gender | Male |
Speciality | Pediatrics |
Location | 2801 17th St Unit 102, Saint Cloud, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700078490 | NPI | - | NPPES |
002996100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | ME107203 (Florida) | Primary |
Entity Name | Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134258684 PECOS PAC ID: 4082515390 Enrollment ID: O20040120000172 |
Mailing Address | Practice Location Address |
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Ramon Augusto Fonseca, MD 2801 17th St Unit 102, Saint Cloud, FL 34769-4939 Ph: (407) 519-2930 | Ramon Augusto Fonseca, MD 2801 17th St Unit 102, Saint Cloud, FL 34769-4939 Ph: (407) 519-2930 |
Dr. Jessica B Kral, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 933 Brown Chapel Rd, Saint Cloud, FL 34769 Phone: 407-593-2883 Fax: 407-593-2884 | |
Dr. Samir Draa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3103 Innovation Dr, Saint Cloud, FL 34769 Phone: 860-992-6794 Fax: 407-249-1755 | |
Hala Abouelmagd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 933 Brown Chapel Rd, Saint Cloud, FL 34769 Phone: 407-593-2883 Fax: 407-593-2884 | |
Dr. Fabio E. Villegas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6101 Oak Shore Dr, Saint Cloud, FL 34771 Phone: 407-350-9499 |