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MID FLORIDA PHYSICIANS GROUP INC.
NPI 1629565932
Family Medicine in Wildwood, FL

Active since April 23, 2018CLIA 10D2161709 · Waiver
300 S MAIN ST, WILDWOOD, FL 34785(352) 643-6699(888) 675-8377 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2019, Jan 3, 2019, May 2, 2018 and 1 more (4 updates tracked since 2018).

About Mid Florida Physicians Group Inc. NPPES

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

MID FLORIDA PHYSICIANS GROUP INC. (NPI 1629565932) is a healthcare organization registered as a family medicine in Wildwood, Florida and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Jerrold Randall Ecklind, President, as its authorized official.

NPPES Registry Identity

NPI1629565932
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMID FLORIDA PHYSICIANS GROUP INC.
Location Address300 S MAIN STWildwood, FL 34785-4542
Mailing Address300 S Main St Ste 2Wildwood, FL 34785-4542 · (352) 643-6699 · Fax (888) 643-6699
Phone(352) 643-6699
Fax(888) 675-8377
Organization SubpartNo
Authorized OfficialJerrold Randall EcklindPresident · (386) 290-6721
Enumeration DateApril 23, 2018
Last NPPES UpdateJune 28, 20234 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1629565932 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.
300 S MAIN ST, Wildwood, FL 34785
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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

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 10D2161709

Mid Florida Physicians Group · Wildwood, FL
Active · expires Feb 7, 2027
CLIA Number10D2161709
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorJerrold R. Ecklind
Laboratory Phone(352) 643-6699
Laboratory LocationMid Florida Physicians Group300 S Main St Ste 2, Wildwood, FL 34785
CLIA data matches this NPI record on: Address Name Phone
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 Mid Florida Physicians Group Inc.'s NPI number?

The NPI number for Mid Florida Physicians Group Inc. is 1629565932. It was assigned to this organization in the NPPES registry on April 23, 2018.

Where is Mid Florida Physicians Group Inc. located?

Mid Florida Physicians Group Inc. is located at 300 S Main St, Wildwood, FL 34785. The listed phone number is (352) 643-6699.

What is Mid Florida Physicians Group Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mid Florida Physicians Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2161709) is associated with this NPI, valid through February 7, 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 Mid Florida Physicians Group Inc. was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.