Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miguel Jose Tepedino, MD

Individual provider Family Medicine Physician · NPI 1568544054

Miguel Jose Tepedino, MD is a Family Practice in Lake City, Florida. Graduated from University of Florida College of Medicine in 2006, 20 years ago. Practices with Miguel J Tepedino MD PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1722 SW Newland Way
Lake City, FL 32025-6915
Phone: (386) 754-4111
Fax: (386) 754-4118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME101844 (FL)

Record details

NPI number1568544054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Miguel J Tepedino Md Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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