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FLORIDA EAST COAST MEDICAL GROUP INC
NPI 1699954057
Family Medicine in Okeechobee, FL

Active since November 01, 2007CLIA 10D1102367 · Waiver
1107 N PARROTT AVE, OKEECHOBEE, FL 34972(863) 763-5122(863) 763-1965 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2019, Jun 19, 2019, Aug 3, 2018 (3 updates tracked since 2018).

About Florida East Coast Medical Group Inc NPPES

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

FLORIDA EAST COAST MEDICAL GROUP INC (NPI 1699954057) is a healthcare organization registered as a family medicine in Okeechobee, Florida and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through July 16, 2027, maintains a secondary practice location in Okeechobee, and lists Dmitry Mishelevich, V-p/cfo, as its authorized official.

NPPES Registry Identity

NPI1699954057
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFLORIDA EAST COAST MEDICAL GROUP INC
Location Address1107 N PARROTT AVEOkeechobee, FL 34972
Mailing Address1107 N Parrott AveOkeechobee, FL 34972-2128 · (863) 763-6496 · Fax (863) 763-1965
Phone(863) 763-5122
Fax(863) 763-1965
Organization SubpartNo
Authorized OfficialDmitry MishelevichV-p/cfo · (863) 763-6496
Enumeration DateNovember 1, 2007
Last NPPES UpdateJuly 9, 20193 updates tracked since enumeration
✔ NPI 1699954057 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.
1107 N PARROTT AVE, Okeechobee, FL 34972
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Secondary Practice Location 1

Location 11107 N Parrott AveOkeechobee, FL 34972 · Phone (863) 763-5122 · Fax (863) 763-1965

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

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 10D1102367

Florida East Coast Medical Group · Okeechobee, FL
Active · expires Jul 16, 2027
CLIA Number10D1102367
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorLudmila Mishelevich MD
Laboratory Phone(863) 763-6496
Laboratory LocationFlorida East Coast Medical Group1004 N Parrott Ave, Okeechobee, FL 34972
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 Florida East Coast Medical Group Inc's NPI number?

The NPI number for Florida East Coast Medical Group Inc is 1699954057. It was assigned to this organization in the NPPES registry on November 1, 2007.

Where is Florida East Coast Medical Group Inc located?

Florida East Coast Medical Group Inc is located at 1107 N Parrott Ave, Okeechobee, FL 34972. The listed phone number is (863) 763-5122.

What is Florida East Coast Medical Group Inc's specialty?

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

Does Florida East Coast Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1102367) is associated with this NPI, valid through July 16, 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 Florida East Coast Medical Group Inc was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.