Individual provider · Type 1 NPI
Widdler Deshommes, MD
General Practice Physician · Mount Dora, FL
NPI number
1376172015
Active
Practice location
4601 N Highway 19A
Mount Dora, FL 32757-2039
Mailing address
550 Rouzer St
Apopka, FL 32712-3650
Other practice locations
- 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 · (480) 272-8944
- 425 S Hunt Club Blvd Ste 201, Apopka, FL 32703-2428 · (407) 304-9337
- 55 Calle Palma, Arecibo, PR 00612-4526 · (787) 650-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 023661 (PR) |
| Physician Assistant | 363A00000X | 000229-P.A (PR) |
| Physician Assistant | 363A00000X | 8363 (AZ) |
| Physician Assistant | 363A00000X | TPPA363 (FL) |
| General Practice Physician Primary | 208D00000X | ACN1610 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
5 other providers at this address
- Alina Community Center at Mount Dora LLCFamily Medicine Physician Mount Dora, FL NPI 1811550346
- Alina Community Center at Mount Dora LLCMental Health Clinic/Center (Including Community Mental Health Center) Mount Dora, FL NPI 1841801842
- Fernhill Family Medicine LLCFamily Medicine Physician Mount Dora, FL NPI 1871641209
- Amancia NormilPsychiatric/Mental Health Nurse Practitioner Mount Dora, FL NPI 1649049719
- Samuel Joseph, PA-C, MDPhysician Assistant Mount Dora, FL NPI 1588288203
Other general practice physician providers in Mount Dora
About NPI 1376172015
Widdler Deshommes, MD's National Provider Identifier is 1376172015, issued on Apr 4, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mount Dora, FL. The record was last updated on Mar 8, 2024.