DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MATILDE FONSECA LMHC

MEDICARE: MATILDE FONSECA LMHC
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
1101YM0800XMental Health CounselorMH17049FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639721517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATILDE FONSECA LMHC
Provider Business Mailing Address
First Line : 12171 SW 268TH ST
Second Line :
City : HOMESTEAD
State : FL
Zip : 33032-8001
Country : US
Telephone Number : 305-278-0200
Fax Number :
Provider Business Practice Location Address
First Line : 8726 W WATERS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33615-1714
Country : US
Telephone Number : 137-121-7268
Fax Number : 813-915-1589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 02/15/2024

Similar Medicare Providers

1164277687 — AMERICAN CARE OF NORTH FLORIDA, INC
Practice Location Address:
8726 W WATERS AVE
TAMPA, FL
33615-1714
Practice Phone: 813-712-1726
Practice Fax: 813-925-4640
1861796435 — AMERICAN CARE OF NORTH FLORIDA, INC
Practice Location Address:
8726 W WATERS AVE
TAMPA, FL
33615-1714
Practice Phone: 305-278-0200
Practice Fax: 786-235-0145
1043220254 — DR. VASILIOS SIERROS M.D.
Practice Location Address:
8726 W WATERS AVE
TAMPA, FL
33615-1714
Practice Phone: 813-712-1726
Practice Fax:
1720323223 — MRS. MAYRI TORRES A.R.N.P.
Practice Location Address:
8726 W WATERS AVE
TAMPA, FL
33615-1714
Practice Phone: 813-712-1726
Practice Fax: 813-925-4640
1215345111 — ROSA MARIA FIORENZANO ARNP
Practice Location Address:
8726 W WATERS AVE
TAMPA, FL
33615-1714
Practice Phone: 813-712-1726
Practice Fax: 813-925-4640
1336531045 — JUAN JOSE OTAZU ARNP
Practice Location Address:
8726 W WATERS AVE
TAMPA, FL
33615-1714
Practice Phone: 813-712-1726
Practice Fax:

Directions to “ MATILDE FONSECA LMHC” 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.