Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376172015 Individual Practitioner Male Practitioner

Dr. Widdler Deshommes , MD

General Practice • Mount Dora, FL

Professional Overview & Biography Verified Profile Summary

Dr. Widdler Deshommes, MD is a registered healthcare professional specializing in General Practice in Mount Dora, FL. Practice services are available at 4601 N HIGHWAY 19A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4601 N Highway 19a

Mount Dora, FL 327572039

Telephone 3522908718
Associated Practice Facility / Clinic
🏢 Fernhill Family Medicine Llc Facility NPI 1871641209

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mount Dora, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Mount Dora, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-08
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1610

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 023661

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

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PR 000229-P.A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 8363

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL TPPA363

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

4540 E Baseline Rd Ste 105

Mesa, AZ 852064616

Phone: 4802728944

425 S Hunt Club Blvd Ste 201

Apopka, FL 327032428

Phone: 4073049337

55 Calle Palma

Arecibo, PR 006124526

Phone: 7876501030

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Samuel Joseph , PA-C, MD

Physician Assistant

NPI 1588288203

Physician Assistant (Certified), Doctor of Medicine (M.D.)

Amancia Normil

Nurse Practitioner - Psychiatric/Mental Health

NPI 1649049719

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location March 08, 2024

Registered at 4601 N HIGHWAY 19A, MOUNT DORA, FL 327572039 (Tel: 3522908718)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2024

General Practice (License #023661 in PR)

📍
Updated Practice Location February 06, 2024

Registered at 55 CALLE PALMA, ARECIBO, PR 006124526 (Tel: 7876501030)

👤
Provider Name / Credentials Updated February 06, 2024

Recorded as WIDDLER DESHOMMES, MD

📍
Updated Practice Location July 21, 2022

Registered at 4540 E BASELINE RD STE 105, MESA, AZ 852064616 (Tel: 4802728944)

👤
Provider Name / Credentials Updated July 21, 2022

Recorded as WIDDLER DESHOMMES, PA-C

NPI Profile Active April 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2020

Registered at 425 S HUNT CLUB BLVD STE 201, APOPKA, FL 327032428 (Tel: 4073049337)

📍
Updated Business Mailing Address April 04, 2020

Registered at 550 ROUZER ST, APOPKA, FL 327123650 (Tel: 4075750943)

👤
Provider Name / Credentials Updated April 04, 2020

Recorded as WIDDLER DESHOMMES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2020

Physician Assistant (License #000229-P.A in PR)

🟢
Initial NPI Registration & Enumeration April 04, 2020

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: 1376172015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2020
Last Update: March 08, 2024
Sole Proprietor: No

Mailing Address

550 Rouzer St

Apopka, FL 327123650

Phone: 4075750943

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.