SEMORAN FAMILY HEALTH, LLC
NPI 1760818488
Clinic/Center - Primary Care in Orlando, FL
About Semoran Family Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEMORAN FAMILY HEALTH, LLC (NPI 1760818488) is a healthcare organization registered as a primary care in Orlando, Florida and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Ronald C Mallonee, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Semoran Family Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Semoran Family Health, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2106105
Semoran Family Health LLC · Orlando, FLFrequently 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 Semoran Family Health, LLC's NPI number?
The NPI number for Semoran Family Health, LLC is 1760818488. It was assigned to this organization in the NPPES registry on September 26, 2013.
Where is Semoran Family Health, LLC located?
Semoran Family Health, LLC is located at 632 N Semoran Blvd, Orlando, FL 32807. The listed phone number is (407) 205-3132.
What is Semoran Family Health, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Semoran Family Health, LLC enrolled in Medicare?
Yes. Semoran Family Health, LLC is registered in the Medicare PECOS enrollment system.
When is Semoran Family Health, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Semoran Family Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Semoran Family Health, LLC. 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 Semoran Family Health, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2106105) is associated with this NPI, valid through December 9, 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 Semoran Family Health, LLC was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Semoran Family Health, Llc · NPI 1760818488
Primary Care organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since September 26, 2013.
## Identity
- **NPI:** 1760818488 (Entity type: Organization)
- **Enumerated:** September 26, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ronald Mallonee, PRESIDENT
## Practice location
- **Address:** 632 N SEMORAN BLVD, Orlando, FL 32807-3330
- **Phone:** (407) 205-3132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2013
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1760818488) · Data from the CMS NPPES public registry.