Jack B Davidoff, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME116103 Issued in FL

Practice address

2300 E County Road 540a
Lakeland, FL 33813-3825

Phone

(863) 680-7190

Fax

(866) 264-8519

NPI assigned

Jul 31, 2006

Sex

Male

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 NY, FL2 enrollments

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 2

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of Central Florida LLPGroup PAC ID 1850296567, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320
• Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score

73.85 of 100Reported as group

Quality

62.05

Promoting interoperability

100

Improvement activities

20

Cost

75.79

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdavidoff778995@direct.shands.ufl.edu

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.

• Emergency Physicians of Central Florida LLP

  • Emergency Medicine Physician
  • Orlando, FL
  • NPI 1326033341
  Medicare reassignment Care Compare group NPD
• Cornerstone Urgent Care Center LLC

  • Urgent Care Clinic/Center
  • Rochester, NY
  • NPI 1932647955
  Medicare reassignment NPD Authorized official
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Md4Er LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Key West, FL
  • NPI 1568851707
  Medicare reassignment NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment NPD
• Soldiers & Sailors Memorial Hospital

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  Medicare reassignment NPD
• Geneva General Hospital

  • Internal Medicine Physician
  • Geneva, NY
  • NPI 1689717209
  NPD
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Waterloo, NY
  • NPI 1972101491
  NPD
• Delphi Emergency Physician Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wellsville, NY
  • NPI 1700829074
  NPD (past)
• Internal Medicine at Lakeside

  • Internal Medicine Physician
  • Brockport, NY
  • NPI 1083939722
  NPD (past)

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

• Orlando Health Central, Inc.

  • General Acute Care Hospital
  • Ocoee, FL
  • NPI 1033475959
  Care Compare affiliation
• Orlando Health Central, Inc.

  • Urgent Care Clinic/Center
  • Ocoee, FL
  • NPI 1780022616

  Hospital

  Care Compare affiliation
• Poinciana Medical Center, Inc.

  • General Acute Care Hospital
  • Kissimmee, FL
  • NPI 1912246786
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1972519932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PALM PL",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E COUNTY ROAD 540A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133825",
            "telephone_number": "863-680-7190",
            "fax_number": "866-264-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOFF",
        "first_name": "JACK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Vernon Davenport, M.D.
• David J Vargas MD PA
• David W Choate DC Inc
• Blessing David, FNP-C
• Michelle David
• Abigail Davila, RBT-24-367135
• Janett Fernandez Davila
• Pam Davila, MA CCC-SLP
• Toi Davis-Washington, APRN
• Altovise L Davis

• Family Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.