Widdler Deshommes, MD
General Practice Physician · Mount Dora, FL
Practice location
4601 N Highway 19aMount Dora, FL 32757-2039
- Phone
- (352) 290-8718
NPI record
- NPI
- 1376172015
- Entity type
- Individual (Type 1)
- Enumeration date
- April 4, 2020
- Last updated
- March 8, 2024
- Certified
- March 8, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
ACN1610 | FL |
| General Practice Physician | 208D00000X |
023661 | PR |
| Physician Assistant | 363A00000X |
000229-P.A | PR |
| Physician Assistant | 363A00000X |
8363 | AZ |
| Physician Assistant | 363A00000X |
TPPA363 | FL |
Mailing address
550 Rouzer StApopka, FL 32712-3650
- Phone
- (407) 575-0943
Other practice locations (3)
- 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 · (480) 272-8944
- 425 S Hunt Club Blvd Ste 201, Apopka, FL 32703-2428 · (407) 304-9337
- 55 Calle Palma, Arecibo, PR 00612-4526 · (787) 650-1030
About Dr. Deshommes
Widdler Deshommes, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 4601 N Highway 19a, Mount Dora, FL 32757-2039. The NPI number 1376172015 was assigned on April 4, 2020 and the record was last updated on March 8, 2024.
Dr. Deshommes lists 5 licenses in the registry: #ACN1610 (FL) for General Practice Physician; #023661 (PR) for General Practice Physician; #000229-P.A (PR) for Physician Assistant; #8363 (AZ) for Physician Assistant; #TPPA363 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Widdler Deshommes, MD?
The NPI number is 1376172015.
What is the phone number of Dr. Deshommes?
The phone number listed for the practice location is (352) 290-8718.
Where is Dr. Deshommes located?
4601 N Highway 19a, Mount Dora, FL 32757-2039.
What is the taxonomy code for Dr. Deshommes?
The primary taxonomy code is 208D00000X – General Practice Physician; 4 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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