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
Fax: (407) 985-1904
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225271885 NPPES
Florida MEDICAID 111955900

Popular Providers