JERRY M ALSTOTT MD
NPI 1063785095
Family Medicine - Adult Medicine in Mount Dora, FL

Q: What is Omni Family Medicine, LLC's NPI number?

The NPI number for Omni Family Medicine, LLC is 1063785095. It was assigned to this organization in the NPPES registry on February 22, 2012. The provider is doing business as Jerry M Alstott MD.

Q: What is Omni Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since February 22, 2012

8030 SAINT JAMES WAY, MOUNT DORA, FL 32757(407) 908-0064(352) 383-9319 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jerry M Alstott Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY M ALSTOTT MD (NPI 1063785095) is a healthcare organization registered as an adult medicine in Mount Dora, Florida and active in the NPI registry since February 2012. The organization lists Jerry M Alstott, Owner, as its authorized official.

NPPES Registry Identity

NPI1063785095

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameOMNI FAMILY MEDICINE, LLC

Location Address8030 SAINT JAMES WAYMount Dora, FL 32757-9134

Mailing Address8030 Saint James WayMount Dora, FL 32757-9134 · (407) 908-0064 · Fax (352) 383-9319

Phone(407) 908-0064

Fax(352) 383-9319

Organization SubpartNo

Authorized OfficialJerry M AlstottOwner · (407) 908-0064

Enumeration DateFebruary 22, 2012

Last NPPES UpdateMay 10, 2016

✔ NPI 1063785095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in FL · ME0037307

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

8030 SAINT JAMES WAY, Mount Dora, FL 32757

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Other Names 1

Doing Business AsJerry M Alstott Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JERRY MARTIN ALSTOTT MD

Family Medicine (Geriatric Medicine)

8030 SAINT JAMES WAY
MOUNT DORA, FL 32757

Orange County (407) 908-0064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Family Medicine, LLC's NPI number?

The NPI number for Omni Family Medicine, LLC is 1063785095. It was assigned to this organization in the NPPES registry on February 22, 2012. The provider is doing business as Jerry M Alstott MD.

Where is Omni Family Medicine, LLC located?

Omni Family Medicine, LLC is located at 8030 Saint James Way, Mount Dora, FL 32757. The listed phone number is (407) 908-0064.

What is Omni Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Omni Family Medicine, LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.