Rodrigo B Fonseca (NPI# 1124213012, PAC ID# 2860539624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1124213012 |
| PAC ID by PECOS | 2860539624 |
| Professional Enrollment ID | I20091027000663 |
| Full Name | Rodrigo B Fonseca |
| Organization Legal Name | VEIN AND VASCULAR CENTER OF SOUTH FLORIDA LLC |
| Address |
4700 Sheridan St D Hollywood FL 33021-3416 |
| Phone Number | 9549646684 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 0749426799 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100230 | MEMORIAL HOSPITAL PEMBROKE |
| Address | Phone | Organization |
|---|---|---|
| 4700 Sheridan St D, Hollywood, FL 33021-3416 | 9549646684 | VEIN AND VASCULAR CENTER OF SOUTH FLORIDA LLC |
| 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 9549646684 | VEIN AND VASCULAR CENTER OF SOUTH FLORIDA LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | VEIN AND VASCULAR CENTER OF SOUTH FLORIDA LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Feldbaum | Vascular Surgery | Vein and Vascular Center of South Florida LLC | 4700 Sheridan St D, Hollywood, FL 33021-3416 |
| Horacio H Schlaen | Vascular Surgery | Vein and Vascular Center of South Florida LLC | 4700 Sheridan St D, Hollywood, FL 33021-3416 |
| Street Address |
4700 SHERIDAN ST D |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Feldbaum | Vascular Surgery | Vein and Vascular Center of South Florida LLC | 4700 Sheridan St D, Hollywood, FL 33021-3416 |
| Horacio H Schlaen | Vascular Surgery | Vein and Vascular Center of South Florida LLC | 4700 Sheridan St D, Hollywood, FL 33021-3416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | HOLLYWOOD + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Rodrigo B Fonseca.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.