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GREEN MOUNTAIN MED CON, INC
NPI 1194330340
Family Medicine in Doral, FL

Active since September 14, 2020CLIA 10D2205593 · Waiver
8175 NW 12TH ST STE 221, DORAL, FL 33126(786) 580-4957(786) 773-5259 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Oct 13, 2022, Sep 14, 2020 (3 updates tracked since 2020).

About Green Mountain Med Con, Inc NPPES

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

GREEN MOUNTAIN MED CON, INC (NPI 1194330340) is a healthcare organization registered as a family medicine in Doral, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Claudia Fundora, President, as its authorized official.

NPPES Registry Identity

NPI1194330340
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREEN MOUNTAIN MED CON, INC
Location Address8175 NW 12TH ST STE 221Doral, FL 33126-1828
Mailing Address7925 Nw 12th St Ste 325Doral, FL 33126-1846 · (786) 580-4957 · Fax (786) 773-5259
Phone(786) 580-4957
Fax(786) 773-5259
Organization SubpartNo
Authorized OfficialClaudia FundoraPresident · (786) 571-2788
Enumeration DateSeptember 14, 2020
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1194330340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
8175 NW 12TH ST STE 221, Doral, FL 33126
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2205593

Green Mountain Med Con Inc · Doral, FL
Active · expires Dec 14, 2026
CLIA Number10D2205593
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorClaudia Fundora
Laboratory Phone(786) 580-4957
Laboratory LocationGreen Mountain Med Con Inc8175 NW 12th St Ste 227, Doral, FL 33126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Green Mountain Med Con, Inc's NPI number?

The NPI number for Green Mountain Med Con, Inc is 1194330340. It was assigned to this organization in the NPPES registry on September 14, 2020.

Where is Green Mountain Med Con, Inc located?

Green Mountain Med Con, Inc is located at 8175 NW 12th St Ste 221, Doral, FL 33126. The listed phone number is (786) 580-4957.

What is Green Mountain Med Con, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Green Mountain Med Con, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2205593) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Green Mountain Med Con, Inc accept?

Health plans from AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) list Green Mountain Med Con, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Green Mountain Med Con, Inc was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.