Mydr Family Clinic, PA
NPI 1619504479ActiveOrganization· General Practice· Kissimmee, FL
General Practice in Kissimmee, Florida, registered in NPPES in March 2020. The authorized official on file is Caridad Gonzalez, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619504479 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2020 |
| Last updated in NPPES | May 24, 2021 |
| Certified by provider | May 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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