Active NPI
Eleanor Frances Davina, D.O.
- Internal Medicine Physician
- Mount Dora, FL
National Provider Identifier
1477556785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS6897
- Practice address
- 3619 Lake Center Dr
Mount Dora, FL 32757-2364 - Phone
- (352) 383-8222
- Fax
- (352) 383-1420
- NPI assigned
- May 31, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS6897 | FL | Primary |
Addresses
Primary practice location
3619 Lake Center Dr
Mount Dora, FL 32757-2364
Mailing address
3619 Lake Center Dr
Mount Dora, FL 32757-2364
Phone (352) 383-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593483343 | Other | FL | TAX ID |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091119000548 | FL | Practitioner - Internal Medicine | 5890886188 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adult Medicine of Lake County Inc
Practice addresses (Care Compare)
3619 Lake Ctr Dr
Mount Dora, FL 32757-2364
Phone (352) 383-8222
Hospital & facility affiliations
- Angels Care Home Health
- Adventhealth Home Health
- Pinnacle Home Care of the Villages Inc
- Waterman Village Home Care
- Amedisys Home Health
- Vitas Healthcare Corporation of Florida
- Adventhealth Waterman
- Orlando Health South Lake Hospital
- Adventhealth Orlando
- Adventhealth Daytona Beach
- Pam Health Rehabilitation Hospital of Tavares
- Edgewater at Waterman Village
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Imaging LLC | Past | Accepting new patients |
Interoperability endpoints
- eleanor.davina@amlc.eclinicaldirectplus.com
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.
-
- Diagnostic Radiology Physician
- Orange Park, FL
- NPI 1346516853
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Leesburg, FL
- NPI 1023045853
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Clermont, FL
- NPI 1902864168
-
- Home Health Agency
- The Villages, FL
- NPI 1053369025
-
- Rehabilitation Hospital
- Tavares, FL
- NPI 1730809419
Inpatient rehabilitation facility
-
- Home Health Agency
- The Villages, FL
- NPI 1982933321
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1477556785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3619 LAKE CENTER DR",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572364",
"telephone_number": "352-383-8222",
"fax_number": "352-383-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3619 LAKE CENTER DR",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572364",
"telephone_number": "352-383-8222",
"fax_number": "352-383-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVINA",
"first_name": "ELEANOR",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS6897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "593483343",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.