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FLORIDAMD CLINIC PA
NPI 1649064239
Family Medicine in Altamonte Springs, FL

Active since April 08, 2025CLIA 10D2323872 · Waiver
210 N WESTMONTE DR # 1001, ALTAMONTE SPRINGS, FL 32714(407) 663-0401(407) 606-8874 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, Apr 27, 2026, Apr 8, 2025 (3 updates tracked since 2025).

About Floridamd Clinic Pa NPPES

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

FLORIDAMD CLINIC PA (NPI 1649064239) is a healthcare organization registered as a family medicine in Altamonte Springs, Florida and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Jose Luis Lopez Rivera, Physician, as its authorized official.

NPPES Registry Identity

NPI1649064239
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFLORIDAMD CLINIC PA
Location Address210 N WESTMONTE DR # 1001Altamonte Springs, FL 32714-3311
Mailing Address210 N Westmonte Dr # 1001Altamonte Springs, FL 32714-3311 · (407) 663-0401 · Fax (407) 214-2749
Phone(407) 663-0401
Fax(407) 606-8874
Organization SubpartNo
Authorized OfficialJose Luis Lopez RiveraPhysician · (407) 633-0401
Enumeration DateApril 8, 2025
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1649064239 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.
210 N WESTMONTE DR # 1001, Altamonte Springs, FL 32714
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Other Identifiers 1

Medicaid126651900FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Floridamd Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Floridamd Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jose Lopez Rivera, M.D
Family Practice
NPI 1164710182
210 N WESTMONTE DR # 1001
Altamonte Springs, FL 32714
(407) 633-0401
✔ PECOS✔ Accepts MedicareSame address

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 10D2323872

Floridamd Clinic PA · Altamonte Springs, FL
Active · expires May 13, 2027
CLIA Number10D2323872
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorJose L. Lopez Rivera
Laboratory Phone(407) 663-0401
Laboratory LocationFloridamd Clinic PA210 N Westmonte Drive #1001, Altamonte Springs, FL 32714
CLIA data matches this NPI record on: 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 Floridamd Clinic PA's NPI number?

The NPI number for Floridamd Clinic PA is 1649064239. It was assigned to this organization in the NPPES registry on April 8, 2025.

Where is Floridamd Clinic PA located?

Floridamd Clinic PA is located at 210 N Westmonte Dr # 1001, Altamonte Springs, FL 32714. The listed phone number is (407) 663-0401.

What is Floridamd Clinic PA's specialty?

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

Is Floridamd Clinic PA enrolled in Medicare?

Yes. Floridamd Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Floridamd Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Floridamd Clinic PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Floridamd Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2323872) is associated with this NPI, valid through May 13, 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 Floridamd Clinic PA was last updated on June 3, 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.