ALINA COMMUNITY CENTER AT MOUNT DORA LLC
NPI 1811550346
Family Medicine in Mount Dora, FL

Q: What is Alina Community Center At Mount Dora LLC's specialty?

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

Active since April 19, 2019CLIA 10D2181840 · Waiver

4601 N HIGHWAY 19A, MOUNT DORA, FL 32757(352) 602-7924(352) 602-4952 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2025, May 21, 2020, Apr 19, 2019 (3 updates tracked since 2019).

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About Alina Community Center At Mount Dora Llc NPPES

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

ALINA COMMUNITY CENTER AT MOUNT DORA LLC (NPI 1811550346) is a healthcare organization registered as a family medicine in Mount Dora, Florida and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Gravil Joseph, Mgr, as its authorized official.

NPPES Registry Identity

NPI1811550346

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameALINA COMMUNITY CENTER AT MOUNT DORA LLC

Location Address4601 N HIGHWAY 19AMount Dora, FL 32757-2039

Mailing Address4601 N Highway 19aMount Dora, FL 32757-2039 · (352) 602-7924 · Fax (352) 602-4952

Phone(352) 602-7924

Fax(352) 602-4952

Organization SubpartNo

Authorized OfficialGravil JosephMgr · (352) 602-7924

Enumeration DateApril 19, 2019

Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1811550346 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.

4601 N HIGHWAY 19A, Mount Dora, FL 32757

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D2181840

Alina Community Center At Mount Dora LLC · Mount Dora, FL

Active · expires Apr 12, 2028

CLIA Number10D2181840

Laboratory TypePhysician Office

Certificate Effective DateApril 13, 2026

Certificate Expiration DateApril 12, 2028

Laboratory DirectorGravil Joseph

Laboratory Phone(352) 602-7924

Laboratory LocationAlina Community Center At Mount Dora LLC4601 N Hwy 19A, Mount Dora, FL 32757

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

WIDDLER DESHOMMES MD

General Practice