Individual provider Active NPI

Miguel A Davila, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1184797482
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN916 Issued in FL
Practice address
1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785
Phone
(407) 382-9079
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ACN916 FL Primary
General Practice Physician 208D00000X ACN916 FL
General Practice Physician 208D00000X 15988 PR

Addresses

Primary practice location

1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785

Mailing address

1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785
Phone (407) 382-9079

Other identifiers 2

IdentifierTypeStateIssuer
105127200MedicaidFL
0009858658MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104001202 FL Practitioner - Family Practice 4880791631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN916FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Minds LLC Past Accepting new patients
Hispanic Family Counseling Inc PastSince Jun 15, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1184797482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 ORLANDO CENTRAL PKWY STE 480",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095785",
            "telephone_number": "407-382-9079",
            "fax_number": "407-964-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ORLANDO CENTRAL PKWY STE 480",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095785",
            "telephone_number": "407-382-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN916",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN916",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105127200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009858658",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.