Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700111614 Individual Practitioner Female Practitioner

Dr. Glorimar Gonzalez Samot , MD

General Practice • Brandon, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Glorimar Gonzalez Samot, MD is a certified General Practice practicing in Brandon, FL. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Gonzalez Samot delivers high-quality medical care to the local community at 675 S KINGS AVE STE 101.

Dr. Gonzalez Samot is affiliated with Clearmedica Medical Centers Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

675 S Kings Ave Ste 101

Brandon, FL 335116048

Telephone 8135885123
Fax 8636469664
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Brandon, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs -7.3 yrs vs City Avg
City Avg: 27.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Brandon, FL (2490 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonzalez Samot (20 Years) 20 Yrs
Brandon Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $417.00 $163.91

Medical Specialties & State Licenses

CMS Verified: 2023-07-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN784

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 17491

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License Number
ACN784 (FL)

Hospital & Practice Group Affiliations

Clearmedica Medical Centers Llc

675 S Kings Ave, Brandon, FL 335116048

Phone: 8135885123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Sarim Idrees , MD

General Practice

NPI 1144617382

Doctor of Medicine (M.D.)

Dr. Sam Korley , MD

Internal Medicine

NPI 1518962885

Doctor of Medicine (M.D.)

NPI 1649572249

Doctor of Medicine (M.D.)

Henriette Bertheau Avila

Nurse Practitioner - Family

NPI 1740055201
NPI 1881843860

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 12, 2023

Registered at 675 S KINGS AVE STE 101, BRANDON, FL 335116048 (Tel: 8135885123)

📍
Updated Business Mailing Address July 12, 2023

Registered at PO BOX 5618, LAKELAND, FL 338075618 (Tel: 8135885123)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2023

General Practice (License #17491 in PR)

NPI Profile Active November 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2016

Registered at 4725 US HIGHWAY 98 S, STE 101, LAKELAND, FL 338124334 (Tel: 8636469663)

📍
Updated Business Mailing Address November 23, 2016

Registered at 4725 US HIGHWAY 98 S, STE 101, LAKELAND, FL 338124334 (Tel: 8636469663)

👤
Provider Name / Credentials Updated November 23, 2016

Recorded as GLORIMAR GONZALEZ SAMOT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2016

General Practice (License #ACN784 in FL)

🟢
Initial NPI Registration & Enumeration October 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700111614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2009
Last Update: July 12, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 5618

Lakeland, FL 338075618

Phone: 8135885123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.