Individual provider Active NPI

Francis Pamela Mogollon Duffo, M.D.

  • Medical Oncology Physician
  • Kissimmee, FL
National Provider Identifier
1336534783
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME151527 Issued in FL
Practice address
2400 N Orange Blossom TRL Ste 205
Kissimmee, FL 34744-2307
Phone
(407) 944-5240
Fax
(407) 944-5251
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME151527 FL
Hematology & Oncology Physician 207RH0003X ME151527 FL
Medical Oncology Physician 207RX0202X ME151527 FL Primary

Addresses

Primary practice location

2400 N Orange Blossom TRL Ste 205
Kissimmee, FL 34744-2307

Mailing address

2400 N Orange Blossom TRL Ste 205
Kissimmee, FL 34744-2307
Phone (407) 944-5240

Other practice location 1

1130 Hickory St Ste B
Melbourne, FL 32901-1973
Phone (321) 361-5601

Other identifiers 2

IdentifierTypeStateIssuer
N7875OtherFLFL HF MEDICARE
111423700MedicaidFL

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
I20210817003177 FL Practitioner - Hematology/Oncology 6709210396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
San Juan Bautista School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1300 W Oak St
Kissimmee, FL 34741-4024
Phone (407) 944-5240

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

380 Celebration PL
FL 2
Celebration, FL 34747-4606
Phone (321) 939-3553

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151527FLMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Aug 5, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Sep 20, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 5, 2024 Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince Sep 20, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2400 N Orange Blossom Trl
Ste 207
Kissimmee, FL 34744
Phone (407) 932-6115

380 Celebration Pl
Fl 2
Kissimmee, FL 34747
Phone (407) 303-4190

2400 N Orange Blossom Trl
Ste 205
Kissimmee, FL 34744
Phone (407) 944-5240

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1130 Hickory St
Ste B
Melbourne, FL 32901
Phone (321) 752-0944

1130 Hickory St
Melbourne, FL 32901
Phone (321) 409-1956

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: fmogollonduffo3013308@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1336534783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 205",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442307",
            "telephone_number": "407-944-5240",
            "fax_number": "407-944-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 205",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442307",
            "telephone_number": "407-944-5240",
            "fax_number": "407-944-5251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Hickory St Ste B",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011973",
            "country_code": "US",
            "telephone_number": "321-361-5601",
            "fax_number": "321-952-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGOLLON DUFFO",
        "first_name": "FRANCIS",
        "middle_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME151527",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME151527",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME151527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "N7875",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111423700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.