Fauntleroy, Connie Aileen
Fauntleroy, Connie Aileen is an individual health care provider with primary practice located at 4445 S Semoran Blvd Ste A , Orlando FL 32822-2472. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fauntleroy, Connie Aileen can be contacted via phone (407) 203-8957.Contact Information
Primary practice address
4445 S Semoran Blvd Ste A
Orlando FL 32822-2472
Phone: (407) 203-8957
Fax: (407) 985-1904
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | ME151342 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME151342 | Florida |
Profile Details
NPI number | 1225271885 |
---|---|
LBN Legal business name | Fauntleroy, Connie Aileen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2009 |
Last updated | Feb 28th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225271885 | NPPES |
Florida | MEDICAID | 111955900 |
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