MEDICARE: MARIA SOCORRO S PONGOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME80722	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3503308	OTHER	FL	AETNA
2	58040	OTHER	FL	BLUE CROSS
3	404404800	OTHER	FL	CIGNA
4	F9494584306	OTHER	FL	BEECHSTREET
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558304436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA SOCORRO S PONGOS M.D.

Provider Business Mailing Address
First Line	:	425 W COLONIAL DR STE 303
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	321-635-2190
Fax Number	:	689-304-0303

Provider Business Practice Location Address
First Line	:	550 POPE AVE NW STE 300
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4679
Country	:	US
Telephone Number	:	863-299-2636
Fax Number	:	833-449-2410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	05/27/2026

Similar Medicare Providers

1972445724 — NATORI BARNETT
Practice Location Address:

550 POPE AVE NW STE 200
WINTER HAVEN, FL
33881-4679

Practice Phone: 863-299-2630
Practice Fax:

1538610001 — MR. ROBERT PRESLEY WILLIAMS JR. ARNP
Practice Location Address:

550 POPE AVE NW STE 300
WINTER HAVEN, FL
33881-4679

Practice Phone: 863-299-2636
Practice Fax:

1396719506 — NORAH MARIA SMITH MD
Practice Location Address:

550 POPE AVE NW # 100
WINTER HAVEN, FL
33881-4679

Practice Phone: 863-293-2144
Practice Fax: 863-293-3732

1285689620 — PAUL T WIELEBINSKI M.D.
Practice Location Address:

550 POPE AVE NW STE 200
WINTER HAVEN, FL
33881-4679

Practice Phone: 863-299-2630
Practice Fax: 863-969-0711

1356374466 — RAYPAR INC
Practice Location Address:

550 POPE AVE NW
WINTER HAVEN, FL
33881-4679

Practice Phone: 863-299-2636
Practice Fax: 863-662-5288

1912008145 — DR. HENRYK T MALCZAK D.O
Practice Location Address:

550 POPE AVE NW STE 200
WINTER HAVEN, FL
33881-4679

Practice Phone: 863-299-2630
Practice Fax: 407-285-4515

Directions to “ MARIA SOCORRO S PONGOS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.