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

Widdler Deshommes, MD

Individual provider General Practice Physician · NPI 1376172015

Widdler Deshommes, MD is a General Practice Physician in Mount Dora, Florida. Works from 4 locations. Licensed in Arizona, Florida and Puerto Rico.

Licensed in
AZ, FL, PR
In the registry since
2020
Specialties on file
5
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

4601 N Highway 19A
Mount Dora, FL 32757-2039
Phone: (352) 290-8718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4540 E Baseline Rd Ste 105, Mesa, AZ 85206-4616 — (480) 272-8944
  • 425 S Hunt Club Blvd Ste 201, Apopka, FL 32703-2428 — (407) 304-9337
  • 55 Calle Palma, Arecibo, PR 00612-4526 — (787) 650-1030

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1610 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 023661 (PR)
Physician Assistant Taxonomy 363A00000X · Licence 000229-P.A (PR)
Physician Assistant Taxonomy 363A00000X · Licence 8363 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence TPPA363 (FL)

Record details

NPI number1376172015
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2020
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024
Mailing address550 Rouzer St, Apopka, FL 32712-3650

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