Family Tree Medical Group II, PA
NPI 1720727654ActiveOrganization· General Practice· Davenport, FL
General Practice in Davenport, Florida, registered in NPPES in May 2022. The authorized official on file is Victor M. Pantoja, Buisness Owner.
Overview
| NPI | 1720727654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2022 |
| Last updated in NPPES | Dec 14, 2022 |
| Certified by provider | Dec 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Pediatrics | 208000000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general practitioners in Davenport
- 1083819361
- 1205307188
- 1316940943
- 1447903661
- 1457582520
- 1538295431
- 1649568288
- 1679221287
- 1912103250
- 1912130527
- 1942452628
- 1063443612
All 30 general practitioners in Davenport · All general practitioners in Florida