FAMILY MEDICAL CARE OF MOUNT DORA INC
NPI 1265844757
Family Medicine in Mount Dora, FL
About Family Medical Care Of Mount Dora Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL CARE OF MOUNT DORA INC (NPI 1265844757) is a healthcare organization registered as a family medicine in Mount Dora, Florida and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists John N Boucher, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 10D2092032
Family Medical Care Of Mount Dora Inc · Mount Dora, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT DORA, FL 32757
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 Family Medical Care Of Mount Dora Inc's NPI number?
The NPI number for Family Medical Care Of Mount Dora Inc is 1265844757. It was assigned to this organization in the NPPES registry on June 2, 2014.
Where is Family Medical Care Of Mount Dora Inc located?
Family Medical Care Of Mount Dora Inc is located at 17580 Us Highway 441, Mount Dora, FL 32757. The listed phone number is (352) 383-8200.
What is Family Medical Care Of Mount Dora Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Family Medical Care Of Mount Dora Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2092032) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family Medical Care Of Mount Dora Inc was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Family Medical Care Of Mount Dora Inc · NPI 1265844757
Family Medicine organization in Mount Dora, Florida. Organization record, active in the CMS NPPES registry since June 2, 2014.
## Identity
- **NPI:** 1265844757 (Entity type: Organization)
- **Enumerated:** June 2, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Boucher, CEO
## Practice location
- **Address:** 17580 US HIGHWAY 441, Mount Dora, FL 32757-6711
- **Phone:** (352) 383-8200
## Record status
- **NPPES last updated:** January 30, 2015
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1265844757) · Data from the CMS NPPES public registry.