DR. RODRIGO B FONSECA (NPI# 1124213012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124213012 |
| Entity Type | Individual |
| Full Name | DR. RODRIGO B FONSECA |
| Credential | MD |
| Practice Address |
2205 N University Dr Pembroke Pines FL 33024-3611 |
| Practice Telephone | 9549646684 |
| Practice Fax Number | 9549646649 |
| Mailing Telephone | 9549646684 |
| Mailing Fax Number | 9549646649 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME 104324 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2205 N UNIVERSITY DR |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359364 | David Michael Feldbaum | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2005-10-06 |
| 1801134770 | Vein & Vascular Center of South Florida LLC | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2013-01-28 |
| 1043448475 | Kristine Maurie Sipos | Nurse Practitioner | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2009-06-24 |
| 1972572626 | Horacio H. Schlaen | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2006-03-15 |
| 1851389480 | David M Feldbaum Md Pa | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982873485 | Surgical Partners LLC | Surgery | 17874 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2008-02-28 |
| 1891914016 | Joshua Mostkoff Unger | Surgery | 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 | 2007-04-25 |
| 1629055868 | Patricio Rosa Sierra | Surgery | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2005-12-29 |
| 1558359364 | David Michael Feldbaum | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2005-10-06 |
| 1215924709 | Edmund Alan Geller | Surgery | 1 Sw 129th Ave, Suite 200, Pembroke Pines, FL 33027-1761 | 2005-09-30 |
| 1801134770 | Vein & Vascular Center of South Florida LLC | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2013-01-28 |
| 1770719445 | Aaron Michael Wagner | Surgery | 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 | 2009-06-08 |
| 1215180443 | Pablo De Los Santos | Surgery | 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 | 2008-10-31 |
| 1851389480 | David M Feldbaum Md Pa | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.