PREMISE HEALTH OF FLORIDA MEDICAL PA
NPI 1386318434
Clinic/Center - Multi-Specialty in Mount Dora, FL

Active since August 03, 2021CLIA 10D2021929 · Waiver
2110 N DONNELLY ST STE 200, MOUNT DORA, FL 32757(352) 735-8231(903) 957-3195 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Aug 9, 2022, Aug 3, 2021 (3 updates tracked since 2021).

About Premise Health Of Florida Medical Pa NPPES

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

PREMISE HEALTH OF FLORIDA MEDICAL PA (NPI 1386318434), doing business as City Of Mount Dora, is a healthcare organization registered as a multi-specialty in Mount Dora, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1386318434
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF FLORIDA MEDICAL PA
Location Address2110 N DONNELLY ST STE 200Mount Dora, FL 32757-6967
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Fax(903) 957-3195
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 3, 2021
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1386318434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2110 N DONNELLY ST STE 200, Mount Dora, FL 32757

Other Names 1

Doing Business AsCity Of Mount Dora

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 10D2021929

Premise Health Of Florida Medical, PA · Mount Dora, FL
Active · expires Mar 22, 2027
CLIA Number10D2021929
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorKimberly Jackson
Laboratory Phone(352) 663-9155
Laboratory LocationPremise Health Of Florida Medical, PA2110 N Donnelly St, Ste 200, Mount Dora, FL 32757
CLIA data matches this NPI record on: Address Name
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 Premise Health Of Florida Medical PA's NPI number?

The NPI number for Premise Health Of Florida Medical PA is 1386318434. It was assigned to this organization in the NPPES registry on August 3, 2021. The provider is doing business as City of Mount Dora.

Where is Premise Health Of Florida Medical PA located?

Premise Health Of Florida Medical PA is located at 2110 N Donnelly St Ste 200, Mount Dora, FL 32757. The listed phone number is (352) 735-8231.

What is Premise Health Of Florida Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Florida Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2021929) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Florida Medical PA was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.