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MYDR FAMILY CLINIC, PA
NPI 1619504479
General Practice in Kissimmee, FL

Active since March 23, 2020CLIA 10D2192524 · Waiver
1952 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741(407) 978-6605(407) 978-6610 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Nov 2, 2020, May 26, 2020 and 1 more (4 updates tracked since 2020).

About Mydr Family Clinic, Pa NPPES

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

MYDR FAMILY CLINIC, PA (NPI 1619504479) is a healthcare organization registered as a general practice in Kissimmee, Florida and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Caridad Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1619504479
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMYDR FAMILY CLINIC, PA
Location Address1952 N JOHN YOUNG PKWYKissimmee, FL 34741-3221
Mailing Address1962 N John Young PkwyKissimmee, FL 34741-3221 · (407) 978-6605 · Fax (407) 978-6610
Phone(407) 978-6605
Fax(407) 978-6610
Organization SubpartNo
Authorized OfficialCaridad GonzalezOwner · (407) 978-6605
Enumeration DateMarch 23, 2020
Last NPPES UpdateMay 24, 20214 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1619504479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1952 N JOHN YOUNG PKWY, Kissimmee, FL 34741
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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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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 10D2192524

My Dr Family Clinic PA · Kissimmee, FL
Active · expires Sep 9, 2026
CLIA Number10D2192524
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorCaridad Gonzalez
Laboratory Phone(407) 978-6605
Laboratory LocationMy Dr Family Clinic PA1952 N John Young Pkwy Suite B, Kissimmee, FL 34741
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SIDI A ELALAOUI MD
Internal Medicine
1952 N JOHN YOUNG PKWY
KISSIMMEE, FL 34741
Osceola County (407) 343-1284
CARIDAD GONZALEZ M.D.
General Practice
1952 N JOHN YOUNG PKWY
KISSIMMEE, FL 34741
Osceola County (407) 978-6605
FAMILY MEDICAL CLINIC, LLC
Clinic/Center (Health Service)
1952 N JOHN YOUNG PKWY
KISSIMMEE, FL 34741
Osceola County (407) 483-7610
SIDI A ELALOUI MD.PA
Clinic/Center (Primary Care)
1952 N JOHN YOUNG PKWY
KISSIMMEE, FL 34741
Osceola County (407) 343-1284

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 Mydr Family Clinic, PA's NPI number?

The NPI number for Mydr Family Clinic, PA is 1619504479. It was assigned to this organization in the NPPES registry on March 23, 2020.

Where is Mydr Family Clinic, PA located?

Mydr Family Clinic, PA is located at 1952 N John Young Pkwy, Kissimmee, FL 34741. The listed phone number is (407) 978-6605.

What is Mydr Family Clinic, PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Mydr Family Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2192524) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mydr Family Clinic, PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Mydr Family Clinic, PA 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 Mydr Family Clinic, PA was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.