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DOVER SHORES FAMILY PRACTICE
NPI 1417683707
Family Medicine in Orlando, FL

Active since July 28, 2022CLIA 10D0275079 · Waiver
4711 CURRY FORD RD STE B, ORLANDO, FL 32812(407) 275-9014(407) 277-9249 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, May 3, 2024, Jul 28, 2022 (3 updates tracked since 2022).

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

NPI1417683707
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOVER SHORES FAMILY PRACTICE
Location Address4711 CURRY FORD RD STE BOrlando, FL 32812-2704
Mailing AddressPo Box 38894Belfast, ME 04915-1230 · (407) 315-2271 · Fax (877) 397-3447
Phone(407) 275-9014
Fax(407) 277-9249
Organization SubpartNo
Authorized OfficialAlina FossManager · (904) 422-2934
Enumeration DateJuly 28, 2022
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1417683707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4711 CURRY FORD RD STE B, Orlando, FL 32812
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Secondary Practice Locations 4

Location 1954 Lake Baldwin LnOrlando, FL 32814-6651 · Phone (407) 275-9014
Location 23800 W Eau Gallie Blvd Ste 101Melbourne, FL 32934-3285 · Phone (407) 275-9014
Location 3100 Whetstone Pl Ste 208St Augustine, FL 32086-5775 · Phone (407) 275-9014
Location 44540 Southside Blvd Ste 401Jacksonville, FL 32216-5488 · Phone (407) 275-9014

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D0275079

Dover Shores Family Practice LLC · Orlando, FL
Active · expires Dec 22, 2027
CLIA Number10D0275079
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorGerald J. Kivett MD
Laboratory Phone(407) 275-9014
Laboratory LocationDover Shores Family Practice LLC4711 Curry Ford Rd Suite B, Orlando, FL 32812
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SANDRA ESTEFANIA SOSA APRN
Nurse Practitioner (Family)
4711 CURRY FORD RD STE B
ORLANDO, FL 32812
Orange County (407) 974-3747
TRADITIONS FAMILY MEDICINE, LLC
Family Medicine
4711 CURRY FORD RD STE B
ORLANDO, FL 32812
Orange County (407) 275-9014
ANNA MARIE R. DE LA CRUZ APRN
Nurse Practitioner (Family)
4711 CURRY FORD RD STE B
ORLANDO, FL 32812
Orange County (407) 315-2271

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 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.

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 17 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.