Active NPI
Pablo Doldy Cardona, M.D.
- Family Medicine Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME120187
- Practice address
- 26540 Ace Ave Ste 108C
Leesburg, FL 34748-8279 - Phone
- (352) 326-5281
- Fax
- (352) 323-1761
- NPI assigned
- Feb 21, 2012
- Last updated
- Aug 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME120187 | FL | Primary |
Addresses
Primary practice location
26540 Ace Ave Ste 108C
Leesburg, FL 34748-8279
Mailing address
1275 NW 122ND St
North Miami, FL 33167-2826
Phone (787) 980-8588
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18550 US Hwy 441
Mount Dora, FL 32757-6751
Phone (352) 735-3755
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| To Your Health of Lake County Inc | Current | Accepting new patients | |
| Physicians of Central Florida PA | Current | Accepting new patients | |
| Physicians of Central Florida, LLC | Current | Accepting new patients | |
| Aegis Medical Group LLC | Past | Accepting new patients |
Locations
26540 Ace Ave
Ste 108C
Leesburg, FL 34748
Phone (352) 323-4800
4700 That St
Leesburg, FL 34748
Phone (352) 326-5281
18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755
10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBDHAD
- pcardona562462@direct.shands.ufl.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physicians of Central Florida, PA
- Internal Medicine Physician
- Mount Dora, FL
- NPI 1861421018
-
- Internal Medicine Physician
- Leesburg, FL
- NPI 1104017946
-
- Internal Medicine Physician
- Summerfield, FL
- NPI 1609075951
-
- Internal Medicine Physician
- Leesburg, FL
- NPI 1356769384
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba UF Health Spanish Plaines Hospital
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1447523493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 NW 122ND ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331672826",
"telephone_number": "787-980-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26540 ACE AVE STE 108C",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347488279",
"telephone_number": "352-326-5281",
"fax_number": "352-323-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "PABLO",
"middle_name": "DOLDY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-21",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME120187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
- Paul Capell, PMHNP
- Amanda Walker Caravella, BCBA
- Cardiac Specialty Institute LLC
- Nicole Cardiello
- Alba Patricia Cardona, ARNP
- Care Delivery Alliance
- Carehere LLC (Carehere LCS-Leesburg)
- Caring Heart Rehabilitation and Nursing Center Inc. (North Campus Rehabilitation and Nursing Center)
- Caring Hearts of a Cna, LLC
- Yamil Carlo Lopez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.