Luz Bobadilla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16942 Issued in FL

Practice address

1700 Baker Ave Ste B
Haines City, FL 33844-8839

Phone

(863) 256-1560

Fax

(863) 519-7696

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• LGB Dental, LLC

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1336454487
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1942321765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 GOLFVIEW AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306703",
            "telephone_number": "863-519-7900",
            "fax_number": "863-519-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BAKER AVE STE B",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448839",
            "telephone_number": "863-256-1560",
            "fax_number": "863-519-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Hobbs Rd",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "FL",
            "postal_code": "338234644",
            "country_code": "US",
            "telephone_number": "863-269-4343",
            "fax_number": "863-519-7696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3241 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052266",
            "country_code": "US",
            "telephone_number": "863-940-5198",
            "fax_number": "863-519-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBADILLA",
        "first_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseline Blanc, APRN-C
• Lilian Gaudy Blanco Pineda
• Blooming Care Homes LLC
• Erika Kristen Bluntson
• Cleopatra Bobadilla Gonzalez, APRN
• Ana Briseida Bonilla Quinones
• Ashley Shakistya Borders
• Maria Ivette Borrero Santiago, RBT-25-454872
• Melody Bowers
• Megan Kathleen Bradley, MSW, RCSWI

• General Practice Dentistry in Haines City, FL
• Providers in Haines City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.