Widdler Deshommes, MD
NPI 1376172015 · General Practice Physician · Mount Dora, FL
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1376172015
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 023661 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 4540 E Baseline Rd Ste 105Mesa, AZ 85206-4616Phone: (480) 272-8944Fax: (480) 237-5682
- 425 S Hunt Club Blvd Ste 201Apopka, FL 32703-2428Phone: (407) 304-9337
- 55 Calle PalmaArecibo, PR 00612-4526Phone: (787) 650-1030
Registry dates
- Enumerated
- 2020-04-04
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.