Individual provider Active NPI

Norma M Lora Taveras, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1255149209
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1685 Issued in FL
Practice address
5249 Conway Rd
Orlando, FL 32812-2202
Phone
(407) 931-0444
Fax
(407) 962-4446
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1685 FL Primary

Addresses

Primary practice location

5249 Conway Rd
Orlando, FL 32812-2202

Mailing address

7101 SW 77TH PL
Miami, FL 33143-2721
Phone (786) 417-8663

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
I20250117002042 FL Practitioner - General Practice 7012446131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowell F. Clark MD PAGroup PAC ID 7416918370, 31 clinicians

Practice addresses (Care Compare)

212 S Florida St
Bushnell, FL 33513-6703
Phone (352) 793-2441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1685FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Medical Inc General Practice CurrentSince Jan 8, 2025 Accepting new patients
Lowell F. Clark MD PA CurrentSince Dec 16, 2025 Accepting new patients
Tampa Family Health Centers Inc PastSince Dec 29, 2024 Accepting new patients

Locations

212 S Florida St
Bushnell, FL 33513
Phone (352) 793-2441

3130 Citrus Tower Blvd
Clermont, FL 34711

107 W Central Ave
Howey in the Hills, FL 34737
Phone (352) 324-0504

931 W Oak St
Ste 103
Kissimmee, FL 34741
Phone (407) 922-4839

5249 Conway Rd
Orlando, FL 32812

Organizations & group practices 4

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": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1255149209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 SW 77TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331432721",
            "telephone_number": "786-417-8663",
            "fax_number": "407-962-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122202",
            "telephone_number": "407-931-0444",
            "fax_number": "407-962-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA TAVERAS",
        "first_name": "NORMA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.