Ramon Augusto Fonseca, M.D.
Pediatrics in Saint Cloud, FL. Individual provider (NPI-1).
NPI number1700078490
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1700078490
- Entity type
- Individual (NPI-1)
- Name
- Ramon Augusto Fonseca
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2007
- Certification date
- Apr 11, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME107203 | FL | Yes |
Practice location
2801 17th St Unit 102Saint Cloud, FL 34769-4939
Phone 407-519-2930 · Fax 407-556-3565
Mailing address
2801 17th St Unit 102Saint Cloud, FL 34769-4939
Phone 407-519-2930 · Fax 407-556-3565
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