DOVER SHORES FAMILY PRACTICE
NPI 1417683707
Family Medicine in Orlando, FL
About Dover Shores Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOVER SHORES FAMILY PRACTICE (NPI 1417683707) is a healthcare organization registered as a family medicine in Orlando, Florida and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2027, maintains 4 additional practice locations, and lists Alina Foss, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dover Shores Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Dover Shores Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 32Melbourne, FL 32940
St. Augustine, FL 32080
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D0275079
Dover Shores Family Practice LLC · Orlando, FLFrequently 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 Dover Shores Family Practice's NPI number?
The NPI number for Dover Shores Family Practice is 1417683707. It was assigned to this organization in the NPPES registry on July 28, 2022.
Where is Dover Shores Family Practice located?
Dover Shores Family Practice is located at 4711 Curry Ford Rd Ste B, Orlando, FL 32812. The listed phone number is (407) 275-9014.
What is Dover Shores Family Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dover Shores Family Practice enrolled in Medicare?
Yes. Dover Shores Family Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dover Shores Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 3 Medicare specialties reassign their Medicare billing to Dover Shores Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Family Practice (3) and Obstetrics/Gynecology (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dover Shores Family Practice hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0275079) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dover Shores Family Practice accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dover Shores Family Practice 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 Dover Shores Family Practice was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dover Shores Family Practice · NPI 1417683707
Family Medicine organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since July 28, 2022.
## Identity
- **NPI:** 1417683707 (Entity type: Organization)
- **Enumerated:** July 28, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Alina Foss, MANAGER
## Practice location
- **Address:** 4711 CURRY FORD RD STE B, Orlando, FL 32812-2704
- **Phone:** (407) 275-9014 · **Fax:** (407) 277-9249
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Family Practice (3), Obstetrics/Gynecology (1); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1417683707/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1417683707) · Data from the CMS NPPES public registry.