Search › Florida › 208D00000X
Widdler Deshommes, MD
NPI 1376172015 · on the registry since 2020
Practice
- Address
- 4601 N Highway 19a
Mount Dora, FL 32757 - Phone
- (352) 290-8718
- Organisation at this address
- Fernhill Family Medicine Llc
Alina Community Center At Mount Dora Llc
Alina Community Center At Mount Dora LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 4540 E Baseline Rd Ste 105, Mesa, AZ
- 425 S Hunt Club Blvd Ste 201, Apopka, FL
- 55 Calle Palma, Arecibo, PR
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Also registered as
- 208D00000X
363A00000X
363A00000X
363A00000X - Licence states on file
- PR, AZ, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida