Glorimar Gonzalez Samot, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN784 Issued in FL

Practice address

675 S Kings Ave Ste 101
Brandon, FL 33511-6048

Phone

(813) 588-5123

Fax

(863) 646-9664

NPI assigned

Oct 9, 2009

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clearmedica Medical Centers LLCGroup PAC ID 3971961079, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clearmedica Medical Centers, LLC

  • Primary Care Clinic/Center
  • Brandon, FL
  • NPI 1386344273

  General Practice

  Medicare reassignment Care Compare group NPD Authorized official
• Clearmedica Medical Centers LLC

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1578350062
  NPD (past) Authorized official

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1700111614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5618",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338075618",
            "telephone_number": "813-588-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S KINGS AVE STE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116048",
            "telephone_number": "813-588-5123",
            "fax_number": "863-646-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SAMOT",
        "first_name": "GLORIMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17491",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ACN784",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yusdilma Gonzalez Barban, RBT
• Dailis Gonzalez Castillo
• Hanny M Gonzalez Cruz
• Maylee Gonzalez Escalona
• Milena Gonzalez Lam
• Nordal Gonzalez Valera, MD
• Yoanny Ramon Gonzalez Wong
• Yeneisy Gonzalez- Garcia, M.D.
• Melissa Gonzalez-Milo
• Angela Gonzalez, MD

• General Practice Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.

Verify at the official NPI Registry.