Individual Healthcare Provider
Widdler Deshommes, MD
Provider's NPPES record last updated: March 8, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1376172015
- Primary Specialty
- General Practice
- Practice Location
- Mount Dora, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 11:03 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
General Practice
Allopathic & Osteopathic Physicians
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Taxonomy code 208D00000X Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- General Practice (Florida)
- ACN1610
- General Practice (Puerto Rico)
- 023661
- Physician Assistant (Puerto Rico)
- 000229-P.A
- Physician Assistant (Arizona)
- 8363
- Physician Assistant (Florida)
- TPPA363
Practice Locations
Practice Location
4601 N Highway 19a
Mount Dora, Florida 32757-2039
Phone: (352) 290-8718
Additional Practice Location
4540 E Baseline Rd Ste 105
Mesa, Arizona 85206-4616
Phone: (480) 272-8944
Fax: (480) 237-5682
Additional Practice Location
425 S Hunt Club Blvd Ste 201
Apopka, Florida 32703-2428
Phone: (407) 304-9337
Additional Practice Location
55 Calle Palma
Arecibo, Puerto Rico 00612-4526
Phone: (787) 650-1030
Record Information
- Enumeration Date
- April 4, 2020
- Provider's NPPES Record Last Updated
- March 8, 2024
- Certification Date
- March 8, 2024
- NPISignal NPPES Dataset
- August 2026
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